Individual
CHARLES CALVIN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 S MILLER ST, WENATCHEE, WA 98801
(509) 662-1511
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD60741962
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164482832
—
WA
Enumeration date
03/25/2006
Last updated
06/07/2018
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