Provider Demographics
NPI:1043299571
Name:CORKILL, MARY E (MD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:CORKILL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14275 MIDWAY RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-3614
Mailing Address - Country:US
Mailing Address - Phone:214-932-8029
Mailing Address - Fax:610-271-4245
Practice Address - Street 1:6750 W 52ND AVE
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3956
Practice Address - Country:US
Practice Address - Phone:720-898-3300
Practice Address - Fax:720-898-3333
Is Sole Proprietor?:No
Enumeration Date:2006-01-12
Last Update Date:2014-04-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CODR29759207ZP0101X, 207ZC0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01297597Medicaid
CAD94450Medicare UPIN
CO01297597Medicaid
COM5008Medicare PIN