Individual
DR. MAURICE E. CORMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
63 GOODER SIMPSON BLVD, PIEDMONT, OK 73078-9215
(405) 373-0380
(405) 373-0457
Mailing address
14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 73134-1006
(405) 419-8465
(405) 419-7745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23210
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200093380A
—
OK
Enumeration date
06/12/2006
Last updated
06/28/2019
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