Individual
CORBIN PAUL EDMONDSON
Active
Individual
CORBIN PAUL EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD216992
OR
207R00000X
Internal Medicine Physician
Primary
V1074
TX
Other
Enumeration date
05/28/2020
Last updated
08/23/2024
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