Mccormick, Robert Graham

Mccormick, Robert Graham is an individual health care provider with primary practice located at 1 Hoag Dr Ecu Dept, Newport Beach CA 92663-4162. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mccormick, Robert Graham can be contacted via phone (949) 764-5689.

Contact Information

Primary practice address
1 Hoag Dr Ecu Dept Newport Beach CA 92663-4162
Phone: (949) 764-5689
Fax: (405) 751-3183
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A74625 Colorado

Profile Details

NPI number 1710940549
LBN Legal business name Mccormick, Robert Graham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710940549 NPPES
California Other P00242777 RR MEDICARE
California MEDICAID 00A746250 RR MEDICARE
California MEDICAID 00A746250670 RR MEDICARE
California Other 00A746250 RR MEDICARE

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