Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 0344 | AZ |
NPI | 1528026044 |
---|---|
Provider Name | Dr. David Francis Corcoran |
First Address | Scottsdale, AZ 85258-5134 |
Second Address | Phoenix, AZ 85037-3363 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 21/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1Z3309 | HEALTHNET (01) | AZ |
609656600 | OWCP (01) | AZ |
701248 | (05) | AZ |
860985801 | TRICARE (01) | AZ |
AZ0194500 | BCBS (01) | AZ |
U17731 | (02) | AZ |