| Gary L Mccorkle, PA | |
|
3431 Broadway St, A8, American Canyon, CA 94503-1228 | |
| (707) 731-1108 | |
| (707) 652-2679 |
| Full Name | Gary L Mccorkle |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 3431 Broadway St, American Canyon, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891810099 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17910CA (California) | Secondary |
| 363A00000X | Physician Assistant | PA17910 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary L Mccorkle, PA 3431 Broadway St, A8, American Canyon, CA 94503-1228 Ph: (707) 731-1108 | Gary L Mccorkle, PA 3431 Broadway St, A8, American Canyon, CA 94503-1228 Ph: (707) 731-1108 |
Elizabeth Barg Martorana, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3431 Broadway St Ste A8, American Canyon, CA 94503 Phone: 707-492-5014 | |
Mr. Mark Richard Lederer, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 309 Kingsly Ln, American Canyon, CA 94503 Phone: 707-980-4227 Fax: 866-396-8755 |