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Organization

P.C. CORRO M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRUDENCIO CORRO M.D. (PRESIDENT)
(304) 252-0775
Entity
Organization

Contact information

Practice address
251 STANAFORD RD, BECKLEY, WV 25801-3139
(304) 252-0775
Mailing address
251 STANAFORD RD, BECKLEY, WV 25801-3139

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0101068000
WV
Enumeration date
10/23/2006
Last updated
07/21/2022
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