Individual
PETER NILES MCCORKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 1ST AVE, 2A31, NEW YORK, NY 10029-7404
(212) 423-6684
Mailing address
15010 39TH AVE NE, LAKE FOREST PARK, WA 98155-7835
(206) 227-5508
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A141452
CA
Other
Enumeration date
04/22/2013
Last updated
05/10/2024
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