MOLLY M MCCORMICK DO
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1003296724- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 708 E WYTHE CREEK CT STE 103, KUNA, ID, 836345005
- Phone
- (208) 922-5130
- Fax
- (208) 375-2217
Specialties & Taxonomies
Family Medicine
Primary License: ID #O-1008
Family Medicine
License: ID #MRO-1478