Individual
DR. MARY CORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 WEST ARBOR DR, MC 8201, SAN DIEGO, CA 92103-8201
(619) 543-6911
(619) 534-3183
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G061357
CA
207RR0500X
Rheumatology Physician
Primary
G061357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G613570
—
CA
Enumeration date
05/04/2006
Last updated
08/27/2020
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