Blaine Cornelius, P.A

NPI 1811941404 · on the registry since 2006

Practice

Address: 619 10th St
Gothenburg, NE 69138
Phone: (308) 537-3674
Fax: (308) 537-3675
Organisation at this address: Craig D Bartruff M.D., P.C.
Craig D Bartruff, M.D., P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: NE
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-01-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska