Individual
DR. JOHN THOR CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1400 A ST BLDG A, SACRAMENTO, CA 95814-0631
(916) 440-1500
(916) 440-1512
Mailing address
1317 H ST, SACRAMENTO, CA 95814-1906
(976) 616-5531
(916) 440-1512
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A79957
CA
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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