Most Relevant Information
Provider Data
| NPI Number: | 1003296724 |
| Provider Name: | MOLLY M MCCORMICK DO |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | O-1008 |
Most Important Dates
| Enumeration Date: | 06/08/2015 |
| Last Updated: | 12/15/2023 |
Provider Practice Location
708 E WYTHE CREEK CT STE 103
KUNA
ID
836345005
Practice Location Phone/Fax
| Phone: | 2089225130 |
| Fax: | 2083752217 |
Provider Mailing Location
777 N RAYMOND ST
BOISE
ID
837049251
Provider Mailing Phone/Fax
| Phone: | 2085142500 |
| Fax: | 2083752217 |
Suggested EMR
Family Practice EMR