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Individual

CONRADO C CORTEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3903 S 7TH ST, SUITE 1F, TERRE HAUTE, IN 47802
(812) 232-2032
(812) 232-8252
Mailing address
3903 S 7TH ST, SUITE 1F, TERRE HAUTE, IN 47802
(812) 232-2032
(812) 232-8252

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01032717
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000093063
ANTHEM
IN
Enumeration date
09/21/2006
Last updated
07/08/2007
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