Individual
DR. JOSEPH CONNOLLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-8718
(937) 656-1347
Mailing address
4881 SUGAR MAPLE DR, WPAFB, OH 45433-5529
(937) 257-8718
(937) 656-1347
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
2614
AZ
2083A0100X
Aerospace Medicine Physician
OP00001583
WA
2084N0400X
Neurology Physician
20A 5869
CA
2084N0400X
Neurology Physician
Primary
541
NV
Other
Enumeration date
09/28/2005
Last updated
01/24/2022
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