Individual
DR. MARTHA ELLEN CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2702 LOW CT, FAIRFIELD, CA 94534-9771
(707) 427-4900
Mailing address
10470 OLD PLACERVILLE RD, #100, SACRAMENTO, CA 95827-2539
(866) 681-0736
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G064295
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G642950
—
CA
Enumeration date
02/22/2006
Last updated
06/12/2015
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