Individual
EDUARDO CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD37769
Contact information
Practice address
4026 OAK FOREST DR, PANAMA CITY, FL 32404-5783
(954) 716-0593
Mailing address
4026 OAK FOREST DR, PANAMA CITY, FL 32404-5783
(954) 716-0593
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD37769
OK
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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