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Organization
FRANK L. CONLY
Active
Organization
FRANK L. CONLY
Active
Other names
Family Practice of Renovo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK L. CONLY M.D. (PRESIDENT)
(570) 923-2700
Entity
Organization
Contact information
Practice address
924 HURON AVE, RENOVO, PA 17764-1191
(570) 923-2700
(570) 923-0824
Mailing address
924 HURON AVE, RENOVO, PA 17764-1191
(570) 923-2700
(570) 923-0824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000946170004
—
PA
01
—
002954
FIRST PRIORITY HEALTH
PA
01
—
1204
GEISINGER HEALTH PLAN
PA
01
—
188455
BLUE SHIELD
PA
01
—
DD5539
RAILROAD MEDICARE
PA
Enumeration date
10/27/2006
Last updated
07/01/2008
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