Gary L Mccorkle in American Canyon - Physician Assistant
Gary L Mccorkle - NPI 1891810099
Gary L Mccorkle is a Physician Assistant in American Canyon, California. Gary L Mccorkle practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Gary L Mccorkle is 1891810099. The last update date is 2014-12-23.
Gary L Mccorkle's current location address is 3431 Broadway St, American Canyon, California. You can contact this provider via phone number 7077311108 and fax number 7076522679. The mailing address for Gary L Mccorkle is 3431 Broadway St, American Canyon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary L Mccorkle |
|---|---|
| Address | 3431 Broadway St, American Canyon, California |
| Phone Number | 7077311108 |
| Fax Number | 7076522679 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1891810099 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2014-12-23 |
Provider Mailing Address Detail
| Address | 3431 Broadway St |
|---|---|
| City | American Canyon |
| State | California (CA) |
| Post Code | 945031228 |
| Phone Number | 7077311108 |
| Fax Number | 7076522679 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA17910CA |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Gary L Mccorkle by the Centers for Medicare & Medicaid Services?
The Gary L Mccorkle has been issued the NPI (National Provider Identifier) 1891810099 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gary L Mccorkle's facilities are situated?
The facilities of Gary L Mccorkle are physically located at the following address: 3431 Broadway St, American Canyon, CA, 945031228.
What is Gary L Mccorkle's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary L Mccorkle's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891810099 to Gary L Mccorkle?
The Centers for Medicare & Medicaid Services originally issued the 1891810099 to Gary L Mccorkle on 2007-03-20.
As of what date was the information regarding Gary L Mccorkle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary L Mccorkle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-12-23.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY