Individual
LUKE MCKENZIE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1284
(618) 233-5480
(618) 222-4792
Mailing address
310 W LOSEY ST, SCOTT AFB, IL 62225-5250
(618) 256-9355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036164625
IL
Other
Enumeration date
03/02/2018
Last updated
07/25/2024
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