Individual
HARRY ALEXANDER MACCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
3205 WOODMAN DR, DAYTON, OH 45420-1143
(937) 298-4417
(937) 298-8260
Mailing address
3205 WOODMAN DR, DAYTON, OH 45420-1143
(937) 298-4417
(937) 298-8260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50001444
OH
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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