Healthcare Provider Details

I. General information

NPI: 1528026044
Provider Name (Legal Business Name): DAVID FRANCIS CORCORAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9305 W THOMAS RD STE 225
PHOENIX AZ
85037-3363
US

IV. Provider business mailing address

9305 W THOMAS RD STE 225
PHOENIX AZ
85037-3363
US

V. Phone/Fax

Practice location:
  • Phone: 623-536-9822
  • Fax: 623-536-3448
Mailing address:
  • Phone: 623-536-9822
  • Fax: 623-536-3448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number0344
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: