Individual
DR. DAVID LEE CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BIRDSEYE AVE STE A, CARIBOU, ME 04736-1670
(207) 492-0346
(207) 492-0348
Mailing address
22 BIRDSEYE AVE STE A, CARIBOU, ME 04736-1670
(207) 492-0346
(207) 492-0348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014890
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000202033
—
ME
01
—
MM7683
MEDICARE PTAN
ME
Enumeration date
10/04/2006
Last updated
12/01/2015
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