Edgar Cornejo, PHYSICIAN ASSISTANT

NPI 1912660440 · on the registry since 2021

Practice

Address: 14175 W Indian School Rd Ste B4-120
Goodyear, AZ 85395
Phone: (956) 222-7774
Organisation at this address: Safeway Inc
Bismark Lake Llc
Dental Views Az Pllc
Nationwide Optometry P.C.
Copper Star Medical Supply
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 12

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: PR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-01-11

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 Arizona