Individual
JOHN MILLER CONN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 N NEVADA AVE, SUITE 5017, COLORADO SPRINGS, CO 80907-6819
(719) 635-2501
(719) 632-1062
Mailing address
2222 N NEVADA AVE, SUITE 5017, COLORADO SPRINGS, CO 80907-6819
(719) 635-2501
(719) 632-1062
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
46381
CO
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
32309
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
875049
—
AZ
01
—
AZ0755890
BCBS
AZ
01
—
P00152283
MEDICARE RAILROAD
AZ
Enumeration date
06/06/2006
Last updated
03/02/2018
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