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NPI Code Detail

MEDICARE: TERRANCE MICHAEL CORRIGAN

MEDICARE: TERRANCE MICHAEL CORRIGAN
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1972646644
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRANCE MICHAEL CORRIGAN
Provider Business Mailing Address
First Line : 5201 RUFFIN RD
Second Line : SUITE A
City : SAN DIEGO
State : CA
Zip : 92123-1653
Country : US
Telephone Number : 619-884-9614
Fax Number :
Provider Business Practice Location Address
First Line : 5201 RUFFIN RD STE A
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1699
Country : US
Telephone Number : 858-694-3568
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 07/08/2007

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Directions to “ TERRANCE MICHAEL CORRIGAN ” Practice Location

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