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Individual

MARK S CORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1150 GRAHAM RD STE 102, FLORISSANT, MO 63031-8077
(314) 206-3900
(314) 206-3992
Mailing address
3309 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63139-1101
(314) 206-3700
(314) 206-3708

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2010006154
MO
208D00000X
General Practice Physician
0431293
KS

Other

Enumeration date
03/12/2007
Last updated
01/24/2024
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