Individual
THOMAS VANCE MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 867-7740
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(775) 428-2633
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10211
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093814527
NPI
—
01
—
11041135
CAQH
—
Enumeration date
09/21/2006
Last updated
12/12/2019
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