Individual
COLIN MCCORKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 TREADWELL CT, LUTHERVILLE, MD 21093-3764
(443) 608-9149
Mailing address
20 TREADWELL CT, LUTHERVILLE, MD 21093-3764
(443) 608-9149
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
9133
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351051027
MI
Other
Enumeration date
05/18/2018
Last updated
08/08/2023
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