MR. BLAINE CORNELIUS, P.A.
Physician Assistant
Active
Individual
NPI: 1811941404
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 1251 (NE) |
Frequently Asked Questions
NPI 1811941404 is the National Provider Identifier for MR. BLAINE CORNELIUS, P.A., a Physician Assistant provider located in Gothenburg, NE. This NPI was enumerated on May 19, 2006.
MR. BLAINE CORNELIUS, P.A. practices at 619 10TH ST, Gothenburg, NE 69138.
Quick Facts
- NPI
- 1811941404
- Type
- Individual
- Enumerated
- May 19, 2006
- Last Updated
- Jan 31, 2013
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