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Individual

DR. JOHN P CONERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
0101237227
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101237227
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010106915
VA
01
139178
BCBS
VA
05
89067MR
NC
01
90592
OPTIMA
VA
01
P00447177
RR MEDICARE
VA
Enumeration date
12/01/2005
Last updated
02/07/2014
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