Most Relevant Information
Provider Data
| NPI Number: | 1003513276 |
| Provider Name: | CORY MARPLE |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/08/2023 |
| Last Updated: | 02/08/2023 |
Provider Practice Location
55 ERIN ST
PIEDMONT
WV
267501204
Practice Location Phone/Fax
| Phone: | 3048132230 |
| Fax: |
Provider Mailing Location
55 ERIN ST
PIEDMONT
WV
267501204
Provider Mailing Phone/Fax
| Phone: | 3048132230 |
| Fax: |