Individual
JOHN M CORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-3737
Mailing address
1100 OLIVE WAY MSC M4-PA, SEATTLE, WA 98101-1873
(206) 515-5811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00036063
WA
208800000X
Urology Physician
Primary
A52939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039595
LABOR & INDUSTRY
WA
01
—
7651CO
BLUE SHIELD
WA
01
—
806259200
IDAHO MEDICAID
WA
05
—
8249047
—
WA
01
—
MD9975W
ALASKA MEDICAID
WA
01
—
US7918102
AETNA/USHC SPECIALIST
WA
Enumeration date
07/10/2006
Last updated
12/22/2023
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