Individual
SCOTT J MCCORKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6808 220TH ST SW, STE 100, MOUNTLAKE TERRACE, WA 98043-2122
(425) 744-7420
(425) 670-3378
Mailing address
PO BOX 94580, SEATTLE, WA 98124-6880
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00016032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8600413
—
WA
Enumeration date
03/17/2006
Last updated
01/25/2012
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