Individual
CONNOR MORTIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
730 W MARKET ST STE 2K, LIMA, OH 45801-4602
(419) 996-5852
(419) 996-5854
Mailing address
2636 N MORELAND BLVD APT 21, CLEVELAND, OH 44120-1466
(419) 979-8592
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006693RX
OH
Other
Enumeration date
07/02/2019
Last updated
01/20/2021
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