Individual
JOHN DAVID CORL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7545 BEECHMONT AVE, CINCINNATI, OH 45255-4222
(513) 206-1320
(513) 232-8483
Mailing address
7545 BEECHMONT AVE, SUITE D, CINCINNATI, OH 45255-4205
(513) 206-1320
(513) 232-8483
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35075272
OH
207RC0000X
Cardiovascular Disease Physician
35726
KY
207RI0011X
Interventional Cardiology Physician
Primary
35.075272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000526402
ANTHEM
OH
05
—
200425410
—
IN
01
—
2504699
UNITED
OH
05
—
64068018
—
KY
Enumeration date
08/26/2005
Last updated
10/24/2020
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