NPI | 1740362805 |
---|---|
Doing Business As | CORYDON MEDICAL ASSOCIATES, PC |
Entity Type | Organization |
Authorized Contact | DONALD DUVAL CFO 812-738-4251 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02001396A) |
Additional Taxonomies | 363L00000X Nurse Practitioner |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2006-10-19 |
Last Update Date | 2023-11-30 |