Individual
DR. GARY ALAN CORBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4018 WESTOAK VALLEY DR, LANESVILLE, IN 47136-9475
(812) 442-7476
(812) 442-7545
Mailing address
PO BOX 399, SEELYVILLE, IN 47878-0399
(812) 442-7476
(812) 442-7545
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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