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Individual

DR. PAUL T CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2979 SQUALICUM PKWY, SUITE #101, BELLINGHAM, WA 98225-1811
(360) 734-2700
(360) 734-8362
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 734-2700
(360) 734-8362

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD60080391
WA
207UN0901X
Nuclear Cardiology Physician
MD60080391
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1179CO
REGENCE BLUE SHIELD
WA
05
1336197334
WA
01
7062177
AETNA
WA
01
82107
L&I AND CRIME VICTIMS FOR SJMC
WA
01
G8883525
MEDICARE PIN FOR SJMC
WA
05
MD0335W
AK
Enumeration date
05/04/2006
Last updated
07/20/2011
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