EDGAR D CORNEJO

GOODYEAR, AZ
NPI1912660440
Other NameEDGAR DE JESUS CORNEJO LOMELI
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PR  1100-P.A.)
Enumeration Date2021-10-21
Last Update Date2022-01-11
Business Address
EDGAR D CORNEJO Physician Assistant
14175 W INDIAN SCHOOL RD STE B4-120
GOODYEAR, AZ 85395-8407
Phone number: 956-222-7774
Mailing Address
EDGAR D CORNEJO Physician Assistant
14175 W INDIAN SCHOOL RD STE B4-120
GOODYEAR, AZ 85395-8407
Phone number: 956-222-7774