Individual
RAYMOND MIZE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1535 116TH AVE NE, SUITE 100, BELLEVUE, WA 98004-3812
(425) 455-0244
(425) 455-9411
Mailing address
1535 116TH AVE NE, SUITE 100, BELLEVUE, WA 98004-3812
(425) 455-0244
(425) 455-9411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18214
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000120813
—
WA
Enumeration date
06/18/2006
Last updated
12/29/2010
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