Individual
DR. SANTIAGO M CORNEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2902 W AGUA FRIA FWY STE 1000, PHOENIX, AZ 85027-3969
(480) 485-7371
Mailing address
3030 N CENTRAL AVE STE 1001, PHOENIX, AZ 85012-2716
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
R71384
AZ
2085R0204X
Vascular & Interventional Radiology Physician
Primary
46120
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46120
MEDICAL LICENSE
AZ
05
—
825984
—
AZ
01
—
R71384
TRAINING PERMIT
AZ
Enumeration date
07/02/2009
Last updated
05/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us