Organization Name: | MCCORMACK PLASTIC SURGERY |
NPI Number: | 1265698328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIFFANY D MCCORMACK (PRESIDIENT) |
Mailing Address: | 10791 Double R Boulevard Reno |
State: | NV US |
Postal Code: | 89521 |
Phone Number: | 7752842020 |
Fax Number: | 7752842023 |
NPI Enumeration Date: | 07/29/2008 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 12004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |