Individual
DR. VIRGILIO D CORPUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5067
(563) 243-2511
(563) 243-0817
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28261
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075135
—
IA
01
—
018399
HEALTH ALLIANCE
—
01
—
18984
MIDLANDS CHOICE
—
01
—
20310
WELLMARK BC/BS
IA
01
—
27193
IOWA HEALTH SOLUTIONS
—
01
—
IA0138
JOHN DEERE HEALTH
—
Enumeration date
05/09/2006
Last updated
09/01/2009
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