Individual
MRS. SANDRA M CORBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 S 8TH AVE STE 101, YUMA, AZ 85364-7132
(928) 788-0785
(928) 783-0634
Mailing address
1490 N TURQUOISE DR, FLAGSTAFF, AZ 86001-1383
(928) 774-5074
(928) 779-0884
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2289
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518516
—
AZ
01
—
970012393
RAIL ROAD MEDICARE
—
Enumeration date
08/16/2005
Last updated
01/10/2023
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