Individual
DR. JOHN L CORSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18 NW OREGON AVE, BEND, OR 97701-2729
(541) 389-7741
(541) 338-3832
Mailing address
18 NW OREGON AVE, BEND, OR 97701-2735
(541) 389-7741
(541) 338-3832
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD19275
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070243
—
OR
Enumeration date
01/23/2006
Last updated
07/12/2010
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