Individual
DR. CORY ADEN-WANSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
G22730
CA
261Q00000X
Clinic/Center
Primary
MD23944
OR
261QP2400X
Prison Health Clinic/Center
MD23944
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G227300
—
CA
Enumeration date
06/25/2006
Last updated
08/15/2008
Update your record
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