M D Corgiat Pa is a Clinical in Ogden, Utah. M D Corgiat Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for M D Corgiat Pa is 1750550075. The last update date is 2010-09-03.
M D Corgiat Pa's current location address is 3903 Harrison Blvd, Ogden, Utah. You can contact this provider via phone number 8013873807 and fax number 8013873810. The mailing address for M D Corgiat Pa is 3903 Harrison Blvd, Ogden, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | M D Corgiat Pa |
|---|---|
| Address | 3903 Harrison Blvd, Ogden, Utah |
| Phone Number | 8013873807 |
| Fax Number | 8013873810 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER,DIRE |
|---|---|
| Authorized Official Name | Corgiat David Mark |
| Credentials | PH.D. |
| Telephone Number | 8016216100 |
NPI Number Detail
| NPI Number | 1750550075 |
|---|---|
| Provider Enumeration Date | 2008-02-21 |
| Last Updated Date | 2010-09-03 |
Provider Mailing Address Detail
| Address | 3903 Harrison Blvd |
|---|---|
| City | Ogden |
| State | Utah (UT) |
| Post Code | 844032314 |
| Phone Number | 8013873807 |
| Fax Number | 8013873810 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6344743-2501 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1336296003 | UT | PERSONAL NPI | |
| 1336296003 | UT | -- |
Post Comment/ Review Below
What is the M D Corgiat Pa's 1750550075?
The M D Corgiat Pa's NPI (National Provider Identifier) Number is 1750550075. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of M D Corgiat Pa?
The M D Corgiat Pa is situated at 3903 Harrison Blvd, in the city of Ogden, state of UT, with the zip code 844032314.
What is the area of specialization for M D Corgiat Pa, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for M D Corgiat Pa is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1750550075 to M D Corgiat Pa?
The Centers for Medicare & Medicaid Services originally issued the 1750550075 to M D Corgiat Pa on 2008-02-21.
As of what date were the details related to M D Corgiat Pa most recently updated or revised?
The information pertaining to M D Corgiat Pa, including its address, specialty, and other relevant details, was last updated or revised on 2010-09-03.
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