MEDICARE: DUNCAN S MCCORMICK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207K00000X	Allergy & Immunology Physician	5766	ND
2	207KI0005X	Clinical & Laboratory Immunology (Allergy & Immunology) Physician	5766	ND
3	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	5766	ND
4	2080P0201X	Pediatric Allergy/Immunology Physician	5766	ND

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992792006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DUNCAN S MCCORMICK MD

Provider Business Mailing Address
First Line	:	PO BOX 1095
Second Line	:
City	:	MINOT
State	:	ND
Zip	:	58702-1095
Country	:	US
Telephone Number	:	701-857-7996
Fax Number	:	701-857-7996

Provider Business Practice Location Address
First Line	:	1 MAIN ST N
Second Line	:
City	:	MINOT
State	:	ND
Zip	:	58703-3189
Country	:	US
Telephone Number	:	701-857-7996
Fax Number	:	701-857-7996

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	09/11/2025

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Directions to “ DUNCAN S MCCORMICK MD” Practice Location

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