Individual
MS. ELIZABETH CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 327-1918
(406) 329-2937
Mailing address
108 MARY AVE, MISSOULA, MT 59801-8706
(406) 529-6079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-26870
MT
Other
Enumeration date
05/30/2013
Last updated
11/05/2024
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