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Individual

DANIEL K MCCORMACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
(510) 204-4444
Mailing address
PO BOX 12469, WESTMINSTER, CA 92685-2469
(866) 325-0282

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PA17372
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA17372
CA
Enumeration date
05/05/2006
Last updated
12/30/2021
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