EMMA L MCCORMACK D.O.

Allergy and Immunology

Bloomington, Indiana

Provider NPI: 1598764268

Provider Information:
 EMMA L MCCORMACK D.O.


Practice Location:
485 S LANDMARK AVE  BLOOMINGTON, IN 47403 US
Tel: 812-334-1198  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	IN	02001726A

Other Provider Identifiers:

Issuer	Number	State	Type
	200078220	IN	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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