Cornelius, Clifford W

Cornelius, Clifford W is an individual health care provider with primary practice located at 3150 N Swan Road , Tucson AZ 85712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Cornelius, Clifford W can be contacted via phone (520) 745-6531.

Contact Information

Primary practice address
3150 N Swan Road Tucson AZ 85712
Phone: (520) 745-6531
Fax: (520) 790-3817
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 5116 Arizona

Profile Details

NPI number 1841338175
LBN Legal business name Cornelius, Clifford W
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841338175 NPPES
Arizona MEDICAID 510976
Arizona Other AZ5116
Arizona Other AZ0472930

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