Individual
ALICE G MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5450 EAST DEER VALLEY DRIVE UNIT 3206, PHOENIX, AZ 85054
(570) 499-5144
(480) 619-4098
Mailing address
5450 EAST DEER VALLEY DRIVE UNIT 3206, PHOENIX, AZ 85054
(570) 499-5144
(480) 619-4098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
006893
AZ
207R00000X
Internal Medicine Physician
Primary
AZ006893
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001035898
—
PA
Enumeration date
12/06/2005
Last updated
09/18/2019
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