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Individual

ALI MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1936 MAGAZINE ST, NEW ORLEANS, LA 70130-5016
(504) 555-5558
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
(425) 917-9141

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
339203
LA
207Q00000X
Family Medicine Physician
69873
WI
207Q00000X
Family Medicine Physician
8309
AK
207Q00000X
Family Medicine Physician
DO214286
OR

Other

Enumeration date
06/27/2014
Last updated
12/02/2024
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