Individual
JOHN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2110 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4154
(907) 563-3700
(907) 563-3740
Mailing address
2110 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99508-4154
(907) 563-3700
(907) 563-3740
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2256
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD22562
—
AK
Enumeration date
01/27/2006
Last updated
05/21/2019
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