Cory Cordova

NPI 1467630525 · on the registry since 2008

Practice

Address: 1090 Goat Springs Rd
Taos, NM 87571
Phone: (505) 758-4224
Fax: (505) 751-5211
Organisation at this address: Taos Picuris Health Center
Taos Picuris Health Center
Taos Pueblo Behavioral Health
Taos Pueblo Division Of Health And Community Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 29

Registry record

Primary taxonomy: 164X00000X
164X00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-05-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico