Individual
MARISA CHRISTINA CORNEJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14155 N 83RD AVE, PEORIA, AZ 85381-5639
(623) 271-8666
Mailing address
14155 N 83RD AVE, STE 138 BLDG 6, PEORIA, AZ 85381-5639
(623) 271-8666
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
77368
AZ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
77368
AZ
Other
Enumeration date
03/23/2018
Last updated
09/17/2025
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