NPI 1609454040

Clay Cornelison, DO

Practitioner Psychiatry Physician Pocatello, ID

Practice location

Address: 500 S 11th Ave, Pocatello, ID 83201-4835
Phone: (208) 232-6214

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 222123 (ID)

Other Psychiatry & Neurology providers in Idaho →

Registry record

NPI: 1609454040
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2021
Record last updated: 24 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.