Individual
CHARLES L CONLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
912 PARK AVE, IRONTON, OH 45638-1596
(740) 532-1100
(740) 534-0029
Mailing address
PO BOX 1595, ASHLAND, KY 41105-1595
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.007949
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468646
—
OH
05
—
3810002365
—
WV
05
—
71000151330
—
KY
Enumeration date
02/03/2006
Last updated
02/10/2022
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