Provider Demographics
NPI:1821268111
Name:CORSON, RISHONA Y (MD)
Entity Type:Individual
Prefix:DR
First Name:RISHONA
Middle Name:Y
Last Name:CORSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:ANACONDA
Mailing Address - State:MT
Mailing Address - Zip Code:59711-2364
Mailing Address - Country:US
Mailing Address - Phone:406-560-4808
Mailing Address - Fax:
Practice Address - Street 1:147 ASPEN DR
Practice Address - Street 2:
Practice Address - City:ANACONDA
Practice Address - State:MT
Practice Address - Zip Code:59711-2364
Practice Address - Country:US
Practice Address - Phone:406-560-4808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2016-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT12560207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine