Organization
CONNELLY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK W CONNELLY M.D. (PHYSICIAN)
(928) 537-9844
Entity
Organization
Contact information
Practice address
5300 S SUTTER DR, STE 11, SHOW LOW, AZ 85901-8054
(928) 537-9844
(928) 537-4437
Mailing address
5300 S SUTTER DR, STE 11, SHOW LOW, AZ 85901-8054
(928) 537-9844
(928) 537-4437
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34632
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465272
—
AZ
Enumeration date
10/11/2006
Last updated
08/29/2016
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