Individual
MR. DAVID WESLEY CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4630 S 81ST WEST AVE, TULSA, OK 74107-8276
(918) 619-6444
Mailing address
4630 S 81ST WEST AVE, TULSA, OK 74107-8276
(918) 619-6444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SD-RN RO34209
SD
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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