Julie Mccormick, M.d., Llc | |
3340 Providence Dr Suite 466 Anchorage AK 99508-4616 | |
(907) 263-2200 | |
(907) 276-0366 |
Full Name | Julie Mccormick, M.d., Llc |
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Speciality | Internal Medicine |
Location | 3340 Providence Dr, Anchorage, Alaska |
Authorized Official Name and Position | Julie Mccormick (MANAGER) |
Authorized Official Contact | 9072632200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Julie Mccormick, M.d., Llc 3340 Providence Dr Suite 466 Anchorage AK 99508-4616 Ph: (907) 263-2200 | Julie Mccormick, M.d., Llc 3340 Providence Dr Suite 466 Anchorage AK 99508-4616 Ph: (907) 263-2200 |
NPI Number | 1457562860 |
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Provider Enumeration Date | 05/25/2007 |
Last Update Date | 12/04/2015 |
Medicare PECOS PAC ID | 8527168418 |
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Medicare Enrollment ID | O20070706000202 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457562860 | NPI | - | NPPES |
1020654 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 4158 (Alaska) | Primary |
Provider Name | Julie A Mccormick |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124048384 PECOS PAC ID: 3274632450 Enrollment ID: I20070629000037 |
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