Individual
DR. JOHN MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6710 W OKANOGAN PL, KENNEWICK, WA 99336
(509) 942-2528
(509) 783-2008
Mailing address
560 GAGE BLVD, SUITE 203, RICHLAND, WA 99352
(509) 942-3627
(509) 942-2268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
8355381-1205
UT
207RR0500X
Rheumatology Physician
8355381-1205
UT
207RR0500X
Rheumatology Physician
Primary
MD60723743
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109300 2
—
IL
01
—
279500
MEDICARE GROUP
—
01
—
P00141686
RAILROAD MEDICARE
—
Enumeration date
08/02/2006
Last updated
03/16/2017
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