Individual
MR. CORY MICAL EDGAR
Active
Individual
MR. CORY MICAL EDGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA09629
TX
363AM0700X
Medical Physician Assistant
Primary
PA9109621
FL
363AM0700X
Medical Physician Assistant
—
TX
Other
Enumeration date
01/20/2015
Last updated
09/14/2016
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