Individual
DAVID MCCORMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 FAIRVIEW ST, BRATTLEBORO, VT 05301
(802) 251-8455
Mailing address
56 LOOP RD, NEWFANE, VT 05345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
101.0122031
VT
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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