Individual
MATTHEW E CORNIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3635
(541) 269-0708
Mailing address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3635
(541) 269-0708
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA180798
OR
Other
Enumeration date
12/29/2016
Last updated
12/29/2016
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