Individual
ELLEN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 28TH ST, DENVER, CO 80205-3003
(303) 602-6333
Mailing address
777 BANNOCK ST # MC1923, DENVER, CO 80204-4597
(303) 436-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0066698
CO
208000000X
Pediatrics Physician
70543
WI
Other
Enumeration date
05/02/2017
Last updated
10/27/2021
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