Provider Demographics
NPI:1528026044
Name:CORCORAN, DAVID FRANCIS (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:FRANCIS
Last Name:CORCORAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9220 E MOUNTAIN VIEW RD STE 101
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5134
Mailing Address - Country:US
Mailing Address - Phone:623-536-9822
Mailing Address - Fax:623-536-3448
Practice Address - Street 1:9305 W THOMAS RD STE 225
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-3363
Practice Address - Country:US
Practice Address - Phone:623-536-9822
Practice Address - Fax:623-536-3448
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0344213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0194500OtherBCBS
AZ609656600OtherOWCP
AZ701248Medicaid
AZ1Z3309OtherHEALTHNET
AZ860985801OtherTRICARE
AZ609656600OtherOWCP
AZ1Z3309OtherHEALTHNET
AZ860985801OtherTRICARE