Individual
MS. GWEN E MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
350 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 632-5700
(719) 228-6644
Mailing address
340 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-3190
(719) 630-6440
(719) 228-6609
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
172229
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00639532
—
CO
Enumeration date
05/18/2006
Last updated
05/07/2008
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