Individual
ERIC MCCORMICK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CFA/CST
Contact information
Practice address
1400 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8005
(812) 473-2642
(812) 474-4458
Mailing address
1400 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8005
(812) 473-2642
(812) 474-4458
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
F01246
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F01246
LICENSE
—
Enumeration date
08/16/2005
Last updated
07/08/2007
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