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Individual

DR. WILLIAM THOMAS CORDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
165 SCOTT AVE, SUITE 102, MORGANTOWN, WV 26508-8847
(304) 554-0440
(304) 624-0026
Mailing address
125 N 6TH ST, CLARKSBURG, WV 26301-2665
(304) 624-7200
(304) 624-0026

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
14750
WV
207K00000X
Allergy & Immunology Physician
2005-00679
NC
207K00000X
Allergy & Immunology Physician
MD437096
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001171808
PA
05
0071544000
WV
05
5901036
NC
Enumeration date
12/14/2005
Last updated
01/23/2015
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