MEDICARE: DR BIFF MCCANN PROF CORP

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	:	1811015357
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR BIFF MCCANN PROF CORP

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	:	OWNER
Name	:	DR. RAYMOND BIFF MCCANN
Credential	:	MD
Telephone Number	:	702-360-9500

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	08/22/2020

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Directions to “DR BIFF MCCANN PROF CORP ” Practice Location

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