Provider Demographics
NPI:1124048384
Name:MCCORMICK, JULIE (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:MCCORMICK
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2741 DEBARR RD STE C416
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99508-2998
Mailing Address - Country:US
Mailing Address - Phone:907-931-7101
Mailing Address - Fax:907-274-7855
Practice Address - Street 1:2741 DEBARR RD STE C416
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-2998
Practice Address - Country:US
Practice Address - Phone:907-931-7101
Practice Address - Fax:907-274-7855
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK4158207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK1013993Medicaid
AK161128Medicare PIN
AKG92488Medicare UPIN