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Individual
DR. FREDERICK ALLEN CONLEY II
Active
Individual
DR. FREDERICK ALLEN CONLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11146
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007709000
—
WV
01
—
CA9811
MEDICARE RAILROAD CARRIER
WV
01
—
PR9255725
MEDICARE GROUP NUMBER
WV
Enumeration date
07/05/2006
Last updated
10/27/2022
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