Individual
DR. JAMES NELSON CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
514 PLAZA CT, SAND SPRINGS, OK 74063
(918) 215-5100
(918) 215-5105
Mailing address
514 PLAZA CT, SAND SPRINGS, OK 74063-7915
(918) 215-5100
(918) 215-5105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6310
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200769410A
—
OK
01
—
675798
MEDICARE
OK
Enumeration date
05/21/2014
Last updated
02/12/2019
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