Individual
CONNER OWEN SWEET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4TH MEDICAL GROUP, 2893 MEDICAL CAMPUS DR, SEYMOUR-JOHNSON AFB, NC 27531-2310
(707) 770-8370
Mailing address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-5028
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
11/07/2024
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