Diego R. Cordoba, M.d. Ltd | |
100 Medical Arts Bldg Suite 140 Kittanning PA 16201-7135 | |
(724) 548-4701 | |
(724) 548-2003 |
Full Name | Diego R. Cordoba, M.d. Ltd |
---|---|
Speciality | Internal Medicine |
Location | 100 Medical Arts Bldg, Kittanning, Pennsylvania |
Authorized Official Name and Position | Diego R Cordoba (OWNER) |
Authorized Official Contact | 7245484701 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Diego R. Cordoba, M.d. Ltd 100 Medical Arts Bldg Suite 140 Kittanning PA 16201-7135 Ph: (724) 548-4701 | Diego R. Cordoba, M.d. Ltd 100 Medical Arts Bldg Suite 140 Kittanning PA 16201-7135 Ph: (724) 548-4701 |
NPI Number | 1558468389 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558468389 | NPI | - | NPPES |
0010179980003 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD035116L (Pennsylvania) | Primary |
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