MEDICARE: RAYMOND B MCCANN M.D.

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
1	208200000X	Plastic Surgery Physician	8640	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528132057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAYMOND B MCCANN M.D.

Provider Business Mailing Address
First Line	:	10300 W CHARLESTON BLVD
Second Line	:	#13-191
City	:	LAS VEGAS
State	:	NV
Zip	:	89135-1037
Country	:	US
Telephone Number	:	702-360-9500
Fax Number	:	702-360-9547

Provider Business Practice Location Address
First Line	:	8685 W SAHARA AVE
Second Line	:	#180
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-5880
Country	:	US
Telephone Number	:	702-360-9500
Fax Number	:	702-360-9547

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	07/09/2007

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Directions to “ RAYMOND B MCCANN M.D.” Practice Location

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