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Individual

EVAN O CORDREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-8145
Mailing address
1215 LEE ST BOX 801210, CHARLOTTESVILLE, VA 22908-0817
(434) 924-4646

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101273581
VA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
0101273581
VA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/01/2019
Last updated
07/06/2024
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