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1073608246
JOHN L. MCCORMICK
ALBUQUERQUE, NM
NPI
1073608246
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NM 94328)
Enumeration Date
2006-10-04
Last Update Date
2010-07-19
Business Address
-- JOHN L. MCCORMICK MD
1115 CENTRAL AVE NE PMG EMERGENCY MEDICINE
ALBUQUERQUE, NM 87106-4927
Phone number: 505-841-1125
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Mailing Address
-- JOHN L. MCCORMICK MD
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-5356
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