Individual
TODD DOUGLAS CORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3260
Mailing address
101 W 8TH AVE, SPOKANE, WA 99204-2364
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
24499
OK
207R00000X
Internal Medicine Physician
Primary
MD60247710
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200058770A
—
OK
Enumeration date
05/01/2006
Last updated
04/05/2021
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