Individual
KATHERINE MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 HEALTH PARK DR STE 100, LOUISVILLE, CO 80027-4644
(303) 440-3083
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3586
(303) 440-3000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
DR.0057015
CO
208000000X
Pediatrics Physician
DR0057015
CO
Other
Enumeration date
05/23/2012
Last updated
09/26/2022
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