Individual
DR. JESSE MICHAEL CORBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 S UNIVERSITY BLVD STE A, MOBILE, AL 36608-3078
(251) 343-5004
(251) 343-8383
Mailing address
408 PINE CT, MOBILE, AL 36608-2413
(337) 352-0753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30121
AL
207R00000X
Internal Medicine Physician
MD.200276
LA
207RN0300X
Nephrology Physician
Primary
30121
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-06690-7
—
LA
01
—
51108316
BCBS
AL
Enumeration date
07/31/2007
Last updated
05/10/2021
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