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Contact Information

MCCORMACK PLASTIC SURGERY
10791 DOUBLE R BOULEVARD
RENO, NV89521
 Phone: 775-284-2020
 Fax: 775-284-2023
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MCCORMACK PLASTIC SURGERY

NPI Number 1265698328
LBN Legal business name MCCORMACK PLASTIC SURGERY
Authorized official TIFFANY MCCORMACK - (PRESIDIENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2008
Last updated 05/12/2014 - About 12 years ago
Identifiers
NV License # 12004
NV Medicaid 100513000
NV Other 1083789481 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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