Individual
JAMES T CORBETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1810 MESQUITE AVE STE B, LAKE HAVASU CITY, AZ 86403-5886
(928) 453-4600
Mailing address
36 KLONDIKE RD, REPUBLIC, WA 99166-9701
(509) 775-3153
(509) 775-8929
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5180
AZ
363A00000X
Physician Assistant
PA10003454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8349417
—
WA
Enumeration date
02/15/2006
Last updated
03/17/2018
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