Individual
DR. BRIAN J MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 LOCUST ST, RENO, NV 89502-1316
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # MCM14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4977
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11041133
CAQH
—
01
—
P00330270
RAILROAD MEDICARE
NV
Enumeration date
07/08/2005
Last updated
12/10/2020
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