Individual
MR. MICHAEL EUGENE CONNER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
28283
OK
163WG0000X
General Practice Registered Nurse
Primary
126799
OK
1710I1003X
Independent Duty Medical Technicians
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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