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Individual
DR. BRIAN J MCCORMACK
Active
Individual
DR. BRIAN J MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4977
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11041133
CAQH
—
01
—
P00330270
RAILROAD MEDICARE
NV
Enumeration date
07/08/2005
Last updated
12/10/2020
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