Individual
MR. WALTER MERRILLE MCCORKILL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
IDC USN
Contact information
Practice address
RIVERINE GROUP ONE, ATTN BLDG 2012 240 AMPHIBIOUS DR STE 125, NORFOLK, VA 23521-2843
(757) 462-2017
Mailing address
1217 WOODSTREAM CT, CHESAPEAKE, VA 23322-9505
(757) 546-3267
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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