Individual
BENJAMIN OSBURN CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
940 NE 13TH ST, 4G4250, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
(405) 271-3462
Mailing address
1122 NE 13TH ST, ORI 274, OKLAHOMA CITY, OK 73117-1039
(405) 271-5125
(405) 271-3462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4748
OK
Other
Enumeration date
07/03/2008
Last updated
09/10/2014
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