Individual
DR. BRUCE M MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 SUTTER ST STE 202, SAN FRANCISCO, CA 94115-3023
(415) 923-9222
(415) 923-9255
Mailing address
2320 SUTTER ST STE 202, SAN FRANCISCO, CA 94115-3023
(415) 923-9222
(415) 923-9255
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G078326
CA
207T00000X
Neurological Surgery Physician
Primary
G078326
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G783260
—
CA
Enumeration date
08/13/2006
Last updated
05/22/2019
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