Individual
DONALD MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3000
Mailing address
2750 BROADWAY ST, BOULDER, CO 80304-3573
(303) 440-3000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
32346
CO
Other
Enumeration date
12/09/2005
Last updated
10/31/2012
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