Provider Demographics
NPI:1962761577
Name:MCCORMICK, ROBERT DEVLIN (DO)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DEVLIN
Last Name:MCCORMICK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1801 N SENATE BLVD STE 3500
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1184
Mailing Address - Country:US
Mailing Address - Phone:317-274-7827
Mailing Address - Fax:317-962-0289
Practice Address - Street 1:1801 N SENATE BLVD STE 3500
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1184
Practice Address - Country:US
Practice Address - Phone:317-274-7827
Practice Address - Fax:317-962-0289
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX566595208600000X
MI5101026595208600000X
CT66223208600000X
IN02006850A208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery