Organization
DIEGO R. CORDOBA, M.D. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO R CORDOBA M.D. (OWNER)
(724) 548-4701
Entity
Organization
Contact information
Practice address
100 MEDICAL ARTS BLDG, SUITE 140, KITTANNING, PA 16201-7135
(724) 548-4701
(724) 548-2003
Mailing address
100 MEDICAL ARTS BLDG, SUITE 140, KITTANNING, PA 16201-7135
(724) 548-4701
(724) 548-2003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD035116L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010179980003
—
PA
Enumeration date
09/20/2006
Last updated
08/22/2020
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