MEDICARE: DAVID A CORRAL MD

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	208800000X	Urology Physician	MD045294L	PA

General Provider Information

NPI Number	:	1982701009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A CORRAL MD

Provider Business Mailing Address
First Line	:	935 THORN RUN RD
Second Line	:	SUITE 210
City	:	MOON TWP
State	:	PA
Zip	:	15108-2861
Country	:	US
Telephone Number	:	412-299-8550
Fax Number	:	412-299-8922

Provider Business Practice Location Address
First Line	:	935 THORN RUN RD
Second Line	:	SUITE 210
City	:	MOON TWP
State	:	PA
Zip	:	15108-2861
Country	:	US
Telephone Number	:	412-299-8550
Fax Number	:	412-299-8922

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	04/30/2020

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Directions to “ DAVID A CORRAL MD” Practice Location

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