Individual
DR. ROBERT ALEXANDER MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 CALLE MEDICO, SUITE 2, SANTA FE, NM 87505-4705
(505) 983-1003
(505) 983-1008
Mailing address
11 CALLE MEDICO, SUITE 2, SANTA FE, NM 87505-4705
(505) 983-1003
(505) 983-1008
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
69-164
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18135
—
NM
Enumeration date
08/19/2006
Last updated
02/01/2008
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