Individual
ROBERT W. CORLISS
Active
Individual
ROBERT W. CORLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00032451
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101904
DEPT OF LABOR AND INDUST
WA
05
—
1094093
—
WA
01
—
110202913
RAILROAD MEDICARE
WA
Enumeration date
10/03/2006
Last updated
04/11/2012
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