Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDGAR D CORNEJO, PHYSICIAN ASSISTANT
ActiveEDGAR D CORNEJO, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in GOODYEAR, Arizona. NPI 1912660440 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GOODYEAR, AZ
Registration Details
- NPI Number
- 1912660440
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2021 (4.7744632729595 yrs)
- Last Updated
- Jan 11, 2022
- License
-
1100-P.A. (PR)
Practice Information
- Address
-
14175 W INDIAN SCHOOL RD STE B4-120GOODYEAR, AZ, 853958407Browse AZ providers · Browse ZIP 85395
- Phone
- 9562227774
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GOODYEAR, AZ
| Name | Credential | NPI |
|---|---|---|
| KEITH D WINTERS | PA-C | 1558334243 |
| MRS. REINA MARIA OCASIO | PA-C | 1932177748 |
| SHANNON M. HOGAN | PA-C | 1801865845 |
| MRS. LORI LYNNE HARDACKER | PA | 1780612952 |
| DIANA HOULE | P.A. | 1992815450 |
| MRS. KELLI ANN MERCADO | PA | 1255426870 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.