Individual
CORY A PILLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
676 SHOUP AVE W STE 12, TWIN FALLS, ID 83301-4615
(208) 733-0436
(208) 733-0438
Mailing address
PO BOX 5577, TWIN FALLS, ID 83303-5577
(208) 678-2727
(208) 678-1477
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P187
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010152082
BLUE SHIELD
ID
01
—
000010152083
BLUE SHIELD
ID
01
—
1369188
MEDICARE
ID
05
—
8073460001
—
ID
05
—
807346001
—
ID
01
—
D08608980
MEDICARE DME SUBMITTER ID
ID
01
—
P2427
BLUE CROSS
ID
01
—
P2428
BLUE CROSS
ID
Enumeration date
07/21/2006
Last updated
08/15/2013
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