Jared B Cornelison, PA-C
NPI #1093068595 in Olympia, Washington
Provider Information
- NPI Number
- 1093068595
- Entity Type
- Individual
- Name
- Jared B Cornelison, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 22, 2012
- Last Updated
- May 28, 2013
Practice Location
- Address
- 3901 CAPITAL MALL DR SW
- Address 2
- STE A
- City
- Olympia
- State
- Washington
- ZIP Code
- 98502-1178
- Phone
- (360) 786-8990
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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