Corvo Medical Corporation | |
1120 Pope St Ste 100 Saint Helena CA 94574-1279 | |
(707) 967-1914 | |
Not Available |
Full Name | Corvo Medical Corporation |
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Speciality | Internal Medicine |
Location | 1120 Pope St Ste 100, Saint Helena, California |
Authorized Official Name and Position | Matthew Corvo (PHYSICIAN / OWNER) |
Authorized Official Contact | 7079671914 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Corvo Medical Corporation 1120 Pope St Ste 100 Saint Helena CA 94574-1279 Ph: () - | Corvo Medical Corporation 1120 Pope St Ste 100 Saint Helena CA 94574-1279 Ph: (707) 967-1914 |
NPI Number | 1932971306 |
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Provider Enumeration Date | 10/27/2023 |
Last Update Date | 10/27/2023 |
Medicare PECOS PAC ID | 5496105363 |
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Medicare Enrollment ID | O20231219002702 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932971306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Matthew A Corvo |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265811475 PECOS PAC ID: 8426304205 Enrollment ID: I20200427000622 |
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