Organization
DONALD E. CORNFORTH, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD E CORNFORTH M.D. (OWNER)
(661) 381-7545
Entity
Organization
Contact information
Practice address
9602 STOCKDALE HWY, BAKERSFIELD, CA 93311
(661) 381-7545
(661) 381-7546
Mailing address
PO BOX 2103, BAKERSFIELD, CA 93303-2103
(661) 381-7545
(661) 381-7546
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064350
—
CA
Enumeration date
06/25/2006
Last updated
06/02/2020
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