SearchNew Mexico183500000X

Timothy Cornell, RPHD

NPI 1992118319 · on the registry since 2014 · sole proprietor

Practice

Address
8511 Golf Course Rd Nw
Albuquerque, NM 87114
Phone
(505) 792-3683
Organisation at this address
Wal-Mart Stores East Lp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-03

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 New Mexico