Individual
GARY EDWARD CORDINGLEY
Active
Individual
GARY EDWARD CORDINGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
048757
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0512609
—
OH
01
—
31106661900
BWC
OH
01
—
P00173094
RAILROAD CARRIER MEDICARE
—
Enumeration date
09/28/2006
Last updated
07/08/2007
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