person
Dr. John M Mccormack, MD
General Practice Physician in West Plains, Missouri
NPI 1477558054

John M Mccormack is a General Practice Physician based in West Plains, MO. John M Mccormack practices in West Plains, MO and has the professional credentials of MD. The NPI Number for John M Mccormack is 1477558054 and holds a License No. R3B70 (Missouri).

The current practice location address for John M Mccormack is 805 Kentucky Ave., West Plains, MO and can be reached out via phone at 417-256-2111 and via fax at 417-256-4858.

Location: 805 Kentucky Ave., West Plains, MO, 65775
person
Provider Profile Details
NPI Number
1477558054
Provider Name
John M Mccormack
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
805 Kentucky Ave., West Plains, MO, 65775
Phone Number
417-256-2111
Fax Number
417-256-4858
Provider Enumeration Date
06/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00207389 01 MEDICARE RR
599022307 05 MO
201249521 05 MO
599022308 05 MO
institution
Provider Business Practice Location Address Details
Address
805 Kentucky Ave.
City
State
Zip
65775
Phone Number
417-256-2111
Fax Number
417-256-4858
person
Provider Business Mailing Address Details
Address
805 Kentucky Ave.
City
State
Zip
65775
Phone Number
417-256-2111
Fax Number
417-256-4858
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
R3B70 (Missouri)
Definition
Definition to come...
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