Individual
MARY C. MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
107 H ST E, VERNE E GIBBS IHS CLINIC, POPLAR, MT 59255
(406) 768-2153
Mailing address
PO BOX 1037, 101 RIVERSIDE DRIVE, POPLAR, MT 59255-1037
(406) 768-2153
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
01/17/2013
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