Individual
ANOOP KORATALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 S CANDY LN, COTTONWOOD, AZ 86326-4170
(904) 749-8903
Mailing address
269 S CANDY LN, COTTONWOOD, AZ 86326-4158
(904) 749-8903
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/19/2024
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