# CONLEY CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CONLEY CLINIC, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881888329
- **Legal business name:** CONLEY CLINIC, LLC
- **Authorized official:** MRS. TESS LYNNE BIRD (OFFICE MANAGER)
- **Authorized official phone:** (660) 263-3185

## Contact information

- **Practice address:** 1145 S MORLEY ST, STE 5, MOBERLY, MO 65270-1948
- **Practice address phone:** (660) 263-3185
- **Practice address fax:** (660) 263-7271
- **Mailing address:** 1145 S MORLEY ST, STE 5, MOBERLY, MO 65270-1948
- **Mailing address phone:** (660) 263-3185
- **Mailing address fax:** (660) 263-7271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | R7880 | MO | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 02/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 243532242 | — | MO |