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
ZIP Code
98502-1178
Phone
(360) 786-8990

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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