Individual
BARRY S MCCORKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1222 S PATTERSON BLVD, SUITE 120, DAYTON, OH 45402-2684
(937) 208-8885
(937) 208-8895
Mailing address
7575 HUNTINGTON PARK DR STE 200, COLUMBUS, OH 43235-5618
(614) 987-5620
(937) 208-8895
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.058581
OH
207RI0200X
Infectious Disease Physician
35.058581
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0823952
—
OH
Enumeration date
06/05/2006
Last updated
01/10/2020
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