Individual
MR. MICHAEL EUGENE CONNER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-5607
Mailing address
1008 S ELLISON AVE, EL RENO, OK 73036-5322
(405) 200-9579
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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