Provider Demographics
NPI:1427061654
Name:MCCORMICK, FRANCIS PATRICK (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:PATRICK
Last Name:MCCORMICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1011 E SAINT MAARTENS DR
Mailing Address - Street 2:
Mailing Address - City:ST JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506
Mailing Address - Country:US
Mailing Address - Phone:816-232-0185
Mailing Address - Fax:816-364-6225
Practice Address - Street 1:1011 E SAINT MAARTENS DR
Practice Address - Street 2:
Practice Address - City:ST JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506
Practice Address - Country:US
Practice Address - Phone:816-232-0185
Practice Address - Fax:816-364-6225
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR9G77207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208648113Medicaid
MO208648113Medicaid
MOG209723Medicare ID - Type Unspecified