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Individual

DR. DAVID E CORNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
1207 S 13TH ST, OMAHA, NE 68108-0587
(402) 345-6503
(402) 345-0309
Mailing address
PO BOX 3587, OMAHA, NE 68103-0587
(402) 345-6503
(402) 345-0309

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
NE164
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02584
BLUE CROSS BLUE SHIELD
NE
01
0511113
IOWA MEDICAID
01
2700158
UNITED HEALTHCARE
NE
01
349957400
US DEPT OF LABOR
01
470786902
MIDLANDS CHOICE
NE
01
470786902
HEALTHCARE PREFERRED
05
47078690200
NE
01
47078690268108A001
TRICARE FOR LIFE
01
480018212
RAILROAD MEDICARE
01
87404
COVENTRY HEALTHCARE NE
Enumeration date
06/14/2006
Last updated
11/17/2009
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