Individual
MR. THOMAS J MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7900 LEES SUMMIT RD, KANSAS CITY, MO 64139-1236
(816) 404-7200
Mailing address
2310 HOLMES ST STE 800, KANSAS CITY, MO 64108-2602
(816) 404-8188
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
109617
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208931519
—
MO
Enumeration date
01/05/2006
Last updated
10/27/2020
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