Individual
DR. GARY ALAN CORBY
Active
Individual
DR. GARY ALAN CORBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01045450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360341
BLUE CROSS BLUE SHIELD
IN
01
—
200223130
MEDICAID
IN
01
—
607877500
BLACK LUNG
IN
01
—
P00212153
TRICARE
IN
Enumeration date
08/09/2005
Last updated
07/09/2024
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