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Individual

DR. LEROY J KORB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-8515

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD044119L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001252334
PA
01
0812860
BLUE SHIELD
PA
01
11207738
UNIVERA
01
707311
UPMC
Enumeration date
10/17/2005
Last updated
02/13/2013
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