Individual
JOHN M CORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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