Individual provider · Type 1 NPI
Prudencio C. Corro, MD
Otolaryngic Allergy Physician · Glen Morgan, WV
NPI number
1740238765
Active
Practice location
673 Ritter Dr
Glen Morgan, WV 25813-7707
Fax (304) 255-6688
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology Physician | 207Y00000X | 5862 (WV) |
| Otolaryngology Physician | 207Y00000X | 9578 (WV) |
| Otolaryngic Allergy Physician Primary | 207YX0602X | 9578 (WV) |
Otolaryngic Allergy Physician: An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.
Another provider at this address
About NPI 1740238765
Prudencio C. Corro, MD's National Provider Identifier is 1740238765, issued on May 4, 2006. The primary taxonomy on file is Otolaryngic Allergy Physician (207YX0602X), and the practice location is in Glen Morgan, WV. The record was last updated on Dec 7, 2020.