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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PRUDENCIO C CORRO, MD

Active Sole Proprietor

PRUDENCIO C CORRO, MD is a Otology & Neurotology healthcare provider located in GLEN MORGAN, West Virginia. NPI 1740238765 is currently active in the NPPES registry. Verify at CMS.

Otology & Neurotology · GLEN MORGAN, WV

Registration Details

NPI Number
1740238765
Provider Type
Individual
Gender
Male
NPI Issued
May 4, 2006 (20.31451397527 yrs)
Last Updated
Dec 7, 2020
Licenses
5862 (WV)
9578 (WV)
9578 (WV)
Sole Proprietor
Yes

Practice Information

Address
673 RITTER DR
GLEN MORGAN, WV, 258137707
Browse WV providers · Browse ZIP 25813
Phone
3042520775
Fax
3042556688
Primary Specialty
Otology & Neurotology
207YX0602X
Additional Specialty
Otolaryngology
Additional Specialty
Otology & Neurotology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.