Individual
SUSAN MOORE CORKRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1413 S WESTERN RD, STILLWATER, OK 74074-6957
(405) 533-2844
(405) 533-4035
Mailing address
1413 S WESTERN RD, STILLWATER, OK 74074-6957
(405) 533-2844
(405) 533-4035
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16743
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033910A
—
OK
01
—
16743
MEDICAL LICENSE
OK
Enumeration date
07/25/2006
Last updated
09/03/2008
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