MCCORMACK PLASTIC SURGERY NPI 1265698328

NPI Information

MCCORMACK PLASTIC SURGERY is a specialist in Reno, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MCCORMACK PLASTIC SURGERY NPI is 1265698328. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10791 DOUBLE R BOULEVARD
RENO, NV
ZIP 89521
Phone: (775) 284-2020
Fax: (775) 284-2023

The provider's authorized official is Tiffany D Mccormack .
The authorized official title is Presidient and has the following contact phone number (775) 284-2020.

The CLIA number assigned to this NPI record is 29D2075243 - other - surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2008 and was last updated on 5/12/2014.

Taxonomy Codes

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Other Identifiers

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