Individual
DR. DAN ROGER CORNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 5TH AVE, MCKEESPORT, PA 15132-2422
(412) 664-2676
Mailing address
1802 OCEAN DR, VERO BEACH, FL 32963-2110
(301) 455-1090
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
D0039518
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147891500
—
MD
Enumeration date
11/11/2005
Last updated
03/19/2019
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