Individual
MARK W. MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 STATE AVE, VANPORT, PA 15009-9501
(724) 728-7810
(724) 728-3852
Mailing address
2 HOT METAL ST, PITTSBURGH, PA 15203-2348
(412) 647-3087
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD017961E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0690726
—
PA
Enumeration date
07/07/2005
Last updated
03/20/2017
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