Individual
DR. CANDACE CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
(319) 558-4876
Mailing address
202 10TH ST SE, CEDAR RAPIDS, IA 52403-2414
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
036128834
IL
2085R0001X
Radiation Oncology Physician
262688
NY
2085R0001X
Radiation Oncology Physician
4301085775
MI
2085R0001X
Radiation Oncology Physician
Primary
53967
IA
390200000X
Student in an Organized Health Care Education/Training Program
4301085775
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03808642
—
NY
01
—
P01365713
RRMCR
NY
Enumeration date
03/28/2007
Last updated
12/05/2024
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