| Doctor Name: | MARK S CORMAN |
| NPI Number: | 1942332267 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 0431293 |
| Business Practice Address: | 343 S Kirkwood Rd Suite 200 Kirkwood, MO - 631226195 |
| Business Phone Number: | 3142063400 |
| Business Fax Number: | 3142063477 |
| Mailing Address: | 343 S Kirkwood Rd, Suite 200 KIRKWOOD |
| State: | MO |
| Postal Code: | 631226195 |
| Phone Number: | 3142063400 |
| Fax Number: | 3142063477 |
| NPI Enumeration Date: | 03/12/2007 |
| NPI Last Update Date: | 10/04/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0431293 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |