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NPI Code Detail

MEDICARE: DR. STEPHEN W. MCCAN D.C.

MEDICARE: DR. STEPHEN W. MCCAN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2410OK

General Provider Information

NPI Number : 1083620157
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN W. MCCAN D.C.
Provider Business Mailing Address
First Line : 3607 NW 32ND ST
Second Line :
City : NEWCASTLE
State : OK
Zip : 73065-6559
Country : US
Telephone Number : 405-392-5504
Fax Number : 405-392-5501
Provider Business Practice Location Address
First Line : 3607 NW 32ND ST
Second Line :
City : NEWCASTLE
State : OK
Zip : 73065-6559
Country : US
Telephone Number : 405-392-5504
Fax Number : 405-392-5501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2006
Last Update Date : 07/08/2007

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