Richard A Corley, PA

NPI #1417020314 in Live Oak, Florida

Provider Information

NPI Number: 1417020314
Entity Type: Individual
Name: Richard A Corley, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 16, 2006
Last Updated: Dec 21, 2009

Practice Location

Address: 10820 MARVIN E JONES BLVD
City: Live Oak
State: Florida
ZIP Code: 32060
Phone: (386) 658-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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