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Individual

DR. SCOTT A CORCORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 CARONDELET DR, KANSAS CITY, MO 64114-4673
(816) 548-2600
Mailing address
5101 COLLEGE BLVD, LEAWOOD, KS 66211-1614
(816) 478-4200

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
04-36278
KS
207P00000X
Emergency Medicine Physician
Primary
2020025229
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
173497201
TX
05
173497202
TX
05
173497203
TX
01
8J1756
BCBS
TX
01
8K8917
BCBS
TX
01
8K9266
BCBS
TX
01
P00274562
RAILROAD
TX
Enumeration date
12/14/2005
Last updated
07/18/2024
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