Individual
CONLAN JOSEPH PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
601 W PARK ST, URBANA, IL 61801
(540) 326-2910
Mailing address
305 W PARK ST APT 4, URBANA, IL 61801-1763
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.076869
IL
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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