Individual
PROF. JOHN DUNCAN CORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
1501 SAN PEDRO DR SE, BLDG 41 RM3B-124C, ALBUQUERQUE, NM 87108-5153
(505) 991-4771
Mailing address
11035 GREENVIEW NE, ALBUQUERQUE, NM 87111-7411
(505) 991-4771
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
25835
IA
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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