Provider Demographics
NPI:1609931401
Name:MCCANNE, DON RAY (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:RAY
Last Name:MCCANNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:33781 AVENIDA CALITA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-4905
Mailing Address - Country:US
Mailing Address - Phone:949-493-3714
Mailing Address - Fax:949-493-7985
Practice Address - Street 1:33781 AVENIDA CALITA
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-4905
Practice Address - Country:US
Practice Address - Phone:949-493-3714
Practice Address - Fax:949-493-7985
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA21273207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine