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Individual
MONTE L CORDRAY
Active
Individual
MONTE L CORDRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01034844A
IN
208800000X
Urology Physician
36065200
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089622
ANTHEM
—
05
—
100251610
—
IN
01
—
340009237
RAILROAD MCARE PALAMETTO
—
01
—
340009239
RAILROAD MEDICARE
—
01
—
340009241
RAILROAD MCARE PALAMETTO
—
01
—
340009771
RAILROAD MCARE PALAMETTO
—
01
—
P00828498
RAILROAD MEDICARE
IN
Enumeration date
08/23/2006
Last updated
03/14/2013
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