Individual
DR. CORY BLAKE PISARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8955 WOOD ROAD, BUILDING 1, 19TH FLOOR, ROOM 19123, BETHESDA, MD 20889-5628
(301) 319-8373
Mailing address
8955 WOOD ROAD, BUILDING 1, 19TH FLOOR, ROOM 19123, BETHESDA, MD 20889-5628
(301) 319-8373
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2025
Last updated
06/19/2025
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