Corcoran, George M
Corcoran, George M is an individual health care provider with primary practice located at 3555 S Val Vista Dr , Gilbert AZ 85297-7323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Corcoran, George M can be contacted via phone (602) 685-5211.Contact Information
Primary practice address
3555 S Val Vista Dr
Gilbert AZ 85297-7323
Phone: (602) 685-5211
Fax: (602) 685-5325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 32690 | Arizona |
Profile Details
| NPI number | 1124008982 |
|---|---|
| LBN Legal business name | Corcoran, George M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Aug 5th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124008982 | NPPES |
| Arizona | MEDICAID | 854168 |
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