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Individual
DR. JAY ROSS CONNELLEY
Active
Individual
DR. JAY ROSS CONNELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8242
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128888001
—
AR
01
—
178800000
QUALCHOICE
AR
01
—
77007401
BREASTCARE
AR
01
—
80133356
TRAVERLERS RAILROAD
AR
Enumeration date
01/17/2006
Last updated
04/03/2024
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