Individual
THOMAS R CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PC
Contact information
Practice address
294 E MOANA LN, SUITE 22, RENO, NV 89502-4641
(775) 329-2020
(775) 827-0843
Mailing address
294 EAST MOANA LANE, SUITE 22, RENO, NV 89502-4634
(775) 329-2020
(775) 827-0843
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
3484
NV
207W00000X
Ophthalmology Physician
C033718
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0020.16648
—
NV
05
—
FS4901304
—
CA
Enumeration date
07/19/2005
Last updated
07/15/2008
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