Provider Demographics
NPI:1740849553
Name:MCCORD, MITCHELL S (DO)
Entity type:Individual
Prefix:
First Name:MITCHELL
Middle Name:S
Last Name:MCCORD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1000 S GREEN RIVER RD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-6802
Mailing Address - Country:US
Mailing Address - Phone:812-853-6627
Mailing Address - Fax:812-401-2072
Practice Address - Street 1:1000 S GREEN RIVER RD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-6802
Practice Address - Country:US
Practice Address - Phone:812-853-6627
Practice Address - Fax:812-401-2072
Is Sole Proprietor?:No
Enumeration Date:2019-06-06
Last Update Date:2024-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN02006286A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine