MEDICARE: ROBERT KORB

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	MSG 000587	PA
2	175F00000X	Naturopath	1985	SC

General Provider Information

NPI Number	:	1063843662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT KORB

Provider Business Mailing Address
First Line	:	501 VALLEYBROOK ROAD
Second Line	:	SUITE 206
City	:	MCMURRAY
State	:	PA
Zip	:	15317-3428
Country	:	US
Telephone Number	:	724-941-6895
Fax Number	:	412-731-4836

Provider Business Practice Location Address
First Line	:	501 VALLEYBROOK RD
Second Line	:	SUITE 206
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3428
Country	:	US
Telephone Number	:	724-941-6895
Fax Number	:	412-731-4836

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/06/2013
Last Update Date	:	12/06/2013

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