Individual
DR. DIEGO R CORDOBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MEDICAL ARTS BLDG, SUITE 140, KITTANNING, PA 16201-7135
(724) 548-4701
(724) 548-2003
Mailing address
100 MEDICAL ARTS BLDG, SUITE 140, KITTANNING, PA 16201-7135
(724) 548-4701
(724) 548-2003
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
035116-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010179980003
—
PA
Enumeration date
09/13/2006
Last updated
04/20/2009
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