Individual
DR. ELIZABETH J MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1030 WILLAGILLESPIE RD, WILLOW MEDICAL SPA FOR WOMEN, EUGENE, OR 97401-2123
(541) 653-9178
Mailing address
1030 WILLAGILLESPIE RD, WILLOW MEDICAL SPA FOR WOMEN, EUGENE, OR 97401-2123
(541) 653-9158
(541) 653-8694
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD22056
OR
207VG0400X
Gynecology Physician
Primary
MD22056
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00890374
MEDICARE RAILROAD
OR
05
—
134307
—
OR
Enumeration date
01/04/2006
Last updated
11/16/2011
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