Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Corby Place

Individual provider Physician Assistant · NPI 1376299651

Corby Place is a Physician Assistant in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Connectionsaz LLC, a 39-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

1201 S 7th Ave
Phoenix, AZ 85007-3913
Phone: (602) 416-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1376299651
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 25, 2022
Last updated in NPPESFebruary 25, 2022
Certification dateFebruary 25, 2022
Mailing address1621 Antioch Church Rd, Alvaton, KY 42122-9606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Connectionsaz Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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