Cornidez, Eric G

Cornidez, Eric G is an individual health care provider with primary practice located at 4582 N 1St Ave Ste 170, Tucson AZ 85718-8602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Cornidez, Eric G can be contacted via phone (520) 318-6035.

Contact Information

Primary practice address
4582 N 1St Ave Ste 170 Tucson AZ 85718-8602
Phone: (520) 318-6035
Fax: (520) 795-9953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 37595 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 37595 Arizona

Profile Details

NPI number 1679792527
LBN Legal business name Cornidez, Eric G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2007
Last updated Feb 10th, 2014 - about 10 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 1679792527 NPPES
Arizona MEDICAID 524557

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