Individual
MONTE L CORDRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1429 NO 6TH ST, TERRE HAUTE, IN 47807-1037
(812) 242-3130
(812) 242-3596
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3130
(812) 242-3596
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01034844A
IN
208800000X
Urology Physician
36065200
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089622
ANTHEM
—
05
—
100251610
—
IN
01
—
340009237
RAILROAD MCARE PALAMETTO
—
01
—
340009239
RAILROAD MEDICARE
—
01
—
340009241
RAILROAD MCARE PALAMETTO
—
01
—
340009771
RAILROAD MCARE PALAMETTO
—
01
—
P00828498
RAILROAD MEDICARE
IN
Enumeration date
08/23/2006
Last updated
03/14/2013
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