Randall Mccormick Toledo Internal Medicine Spec Inc | |
2409 Cherry St Ste 207 Toledo OH 43608-2625 | |
(419) 251-7672 | |
(419) 251-6785 |
Full Name | Randall Mccormick Toledo Internal Medicine Spec Inc |
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Speciality | Internal Medicine |
Location | 2409 Cherry St, Toledo, Ohio |
Authorized Official Name and Position | Randall P Mccormick (PRESIDENT) |
Authorized Official Contact | 4192517672 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Randall Mccormick Toledo Internal Medicine Spec Inc Po Box 505 Toledo OH 43697-0505 Ph: (419) 251-7672 | Randall Mccormick Toledo Internal Medicine Spec Inc 2409 Cherry St Ste 207 Toledo OH 43608-2625 Ph: (419) 251-7672 |
NPI Number | 1033169685 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 02/04/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033169685 | NPI | - | NPPES |
2610302 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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