| Randall Mccormick Toledo Internal Medicine Spec Inc | |
|
2409 Cherry St Ste 207 Toledo OH 43608-2625 | |
| (419) 251-7672 | |
| (419) 251-6785 |
| Full Name | Randall Mccormick Toledo Internal Medicine Spec Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2409 Cherry St, Toledo, Ohio |
| Authorized Official Name and Position | Randall P Mccormick (PRESIDENT) |
| Authorized Official Contact | 4192517672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Mccormick Toledo Internal Medicine Spec Inc Po Box 505 Toledo OH 43697-0505 Ph: (419) 251-7672 | Randall Mccormick Toledo Internal Medicine Spec Inc 2409 Cherry St Ste 207 Toledo OH 43608-2625 Ph: (419) 251-7672 |
| NPI Number | 1033169685 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033169685 | NPI | - | NPPES |
| 2610302 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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