NPI 1083789481

Tiffany D McCormack, MD

Practitioner Specialist Reno, NV

Practice location

Address: 10791 Double R Boulevard, Reno, NV 89521-5856
Phone: (775) 284-2020
Fax: (775) 284-2023

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 12004 (NV)

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Registry record

NPI: 1083789481
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Nov 2006
Record last updated: 13 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.