Provider Demographics
NPI:1982701009
Name:CORRAL, DAVID A (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:A
Last Name:CORRAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:935 THORN RUN RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MOON TWP
Mailing Address - State:PA
Mailing Address - Zip Code:15108-2861
Mailing Address - Country:US
Mailing Address - Phone:412-299-8550
Mailing Address - Fax:412-299-8922
Practice Address - Street 1:935 THORN RUN RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-2861
Practice Address - Country:US
Practice Address - Phone:412-299-8550
Practice Address - Fax:412-299-8922
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2020-04-30
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Provider Licenses
StateLicense IDTaxonomies
PAMD045294L208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG58581Medicare UPIN
PA047654LLSMedicare PIN