Provider Demographics
NPI:1992067672
Name:CORRAL, SARAH JANE (DO)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:CORRAL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1111 E MCDOWELL RD
Mailing Address - Street 2:LL2
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85006-2612
Mailing Address - Country:US
Mailing Address - Phone:602-839-2717
Mailing Address - Fax:602-839-2084
Practice Address - Street 1:1111 E MCDOWELL RD
Practice Address - Street 2:LL2
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2612
Practice Address - Country:US
Practice Address - Phone:602-839-2717
Practice Address - Fax:602-839-2084
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2015-10-02
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Provider Licenses
StateLicense IDTaxonomies
AZ006624208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine