Individual
DR. DWAYNE PATRICK CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502
(310) 222-3501
(310) 782-1763
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-3501
(310) 782-1763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-145814
IL
207P00000X
Emergency Medicine Physician
A138255
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2014
Last updated
04/23/2020
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