Individual
DR. JOHN ALLEN CONROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
411 S MAIN ST, MILBANK, SD 57252-2424
(605) 432-5730
(605) 432-4324
Mailing address
411 S MAIN ST, MILBANK, SD 57252-2424
(605) 432-5730
(605) 432-4324
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2118
MN
152W00000X
Optometrist
Primary
SD491
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358723100
—
MN
01
—
4645120001
DMERC
MN
01
—
4645120002
DMERC
SD
05
—
9202533
—
SD
Enumeration date
10/20/2005
Last updated
03/07/2023
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