Individual
COREY M DIRKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
549 RIDGLEY RD, CROWNSVILLE, MD 21032-1634
(443) 223-2172
Mailing address
549 RIDGLEY RD, CROWNSVILLE, MD 21032-1634
(443) 223-2172
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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