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Organization

MARK A MCCONN MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK A MCCONN MD (DIRECTOR)
(315) 329-4975
Entity
Organization

Contact information

Practice address
4117 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 329-4975
Mailing address
4117 MEDICAL CENTER DR, FAYETTEVILLE, NY 13066-6600
(315) 329-4975

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
11/29/2012
Last updated
11/29/2012
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