Individual provider · Type 1 NPI

John Tucker McCormick, PA-C

Medical Physician Assistant · Fayetteville, AR

NPI number 1477066926 Active

Practice location

4375 N Vantage Dr Ste 305
Fayetteville, AR 72703-4984

Fax (479) 443-5117

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant 363AM0700X4941 (OK)
Medical Physician Assistant 363AM0700XMA061232 (PA)
Medical Physician Assistant Primary 363AM0700XPA-747 (AR)

Medical Physician Assistant: Definition to come...

4 other providers at this address

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About NPI 1477066926

John Tucker McCormick, PA-C's National Provider Identifier is 1477066926, issued on Nov 7, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, AR. The record was last updated on Feb 16, 2024.