Individual
PATRICK J LECORPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2346 KATY LN, POPLAR BLUFF, MO 63901-2300
(573) 785-5599
(573) 785-9559
Mailing address
2346 KATY LN, POPLAR BLUFF, MO 63901-2300
(573) 785-5599
(573) 785-9559
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2002002065
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163776
BLUE CROSS
MO
05
—
205858004
—
MO
Enumeration date
06/14/2006
Last updated
12/14/2011
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