Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 5766 | ND |
N | 207RA0201X | Internist - Allergy & Immunology | 5766 | ND |
N | 2080P0201X | Pediatric Allergist | 5766 | ND |
NPI | 1992792006 |
---|---|
Provider Name | Duncan S Mccormick |
First Address | Minot, ND 58702-1095 |
Second Address | Minot, ND 58703-3189 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
17845 | (05) | ND |
E27478 | (02) |