Individual
DR. COREY PASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2542 LANGHORNE RD, LYNCHBURG, VA 24501-1602
(434) 200-5297
Mailing address
1204 FENWICK DR, LYNCHBURG, VA 24502-2112
(434) 200-3656
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101243684
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203639329027
TRICARE
—
01
—
203639329029
TRICARE
—
01
—
203639329030
TRICARE
—
01
—
358897
ANTHEM
—
01
—
359504
ANTHEM
—
01
—
362160
ANTHEM
—
Enumeration date
05/23/2007
Last updated
02/05/2009
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