Individual
GARY L MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3431 BROADWAY ST, A8, AMERICAN CANYON, CA 94503-1228
(707) 731-1108
(707) 652-2679
Mailing address
3431 BROADWAY ST, A8, AMERICAN CANYON, CA 94503-1228
(707) 731-1108
(707) 652-2679
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA17910
CA
363A00000X
Physician Assistant
PA17910CA
CA
Other
Enumeration date
03/20/2007
Last updated
12/23/2014
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