Individual
DR. DEBORAH A CORTLANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
609 W COURT ST, SUITE B, WINNFIELD, LA 71483-2633
(318) 302-3957
Mailing address
3331 W DEYOUNG ST, STE 100, MARION, IL 62959-5896
(618) 998-7600
(618) 998-6680
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036104607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200302200A
—
IN
05
—
64033111
—
KY
Enumeration date
07/07/2005
Last updated
10/27/2016
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