Organization
RANDALL MCCORMICK TOLEDO INTERNAL MEDICINE SPEC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL P MCCORMICK MD (PRESIDENT)
(419) 251-7672
Entity
Organization
Contact information
Practice address
2409 CHERRY ST, STE 207, TOLEDO, OH 43608-2625
(419) 251-7672
(419) 251-6785
Mailing address
PO BOX 505, TOLEDO, OH 43697-0505
(419) 251-7672
(419) 251-6785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2610302
—
OH
Enumeration date
05/12/2006
Last updated
02/04/2013
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