NPI 1467631903

Jeannie M Mc Cance MD PLLC

Organisation Exclusive Provider Organization Muskogee, OK

Practice location

Address: 826 E Broadway St, Muskogee, OK 74403-5124
Phone: (918) 687-1634
Fax: (918) 398-4408

Authorised official

Name: Jeannie M Mc Cance
Title: Owner
Phone: (918) 687-1634

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 16881 (OK)

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1467631903
Entity type: Organization
NPI issued: 1 Nov 2007
Record last updated: 13 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.