MR. Brent Cornish
NPI #1083131734 in Midwest City, Oklahoma
Provider Information
- NPI Number
- 1083131734
- Entity Type
- Individual
- Name
- MR. Brent Cornish
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Aug 24, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 613 S MIDWEST BLVD
- City
- Midwest City
- State
- Oklahoma
- ZIP Code
- 73110-4727
- Phone
- (405) 503-0679
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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