DEROK S CORNWELL

THE ORTHOPEDIC CENTERS

Dr DEROK S CORNWELL is a male medical professional, specializing in Physician Assistant. He graduated in 2012.

Contact

THE ORTHOPEDIC CENTERS

3102 RAINBOW DR
SUITE 100
RAINBOW CITY
AL
359065804

Tel: 2565468127

DEROK S CORNWELL Information

Npi 1174591366
Pac Id 6608012844
Professional Enrollment Id I20130415000163
Last Name CORNWELL
First Name DEROK
Middle Name S
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2012
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE ORTHOPEDIC CENTERS
Group Practice Pac Id 2466430004
Number Of Group Practice Members 6
Line 1 Street Address 3102 RAINBOW DR
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City RAINBOW CITY
State AL
Zip Code 359065804
Phone Number 2565468127
Hospital Affiliation Ccn 1 010046
Hospital Affiliation Lbn 1 RIVERVIEW REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 2 010040
Hospital Affiliation Lbn 2 GADSDEN REGIONAL MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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