Individual
DR. DUSTIN MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5950 UNIVERSITY AVE, SUITE 131, WEST DES MOINES, IA 50266
(515) 875-9550
(515) 875-9551
Mailing address
7147 VISTA DR STE 150, WEST DES MOINES, IA 50266-9313
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8923
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO-04223
IA
207RP1001X
Pulmonary Disease Physician
Primary
DO-04223
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831410802
—
IA
Enumeration date
06/14/2010
Last updated
06/22/2018
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