Individual
DR. JEFFREY L CORNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5779 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000
Mailing address
5779 E MAYO BLVD, PHOENIX, AZ 85054
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
18771
AZ
207VX0201X
Gynecologic Oncology Physician
18771
AZ
Other
Enumeration date
12/13/2005
Last updated
10/19/2021
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