Individual
CONNOR JEFFREY NIEMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-5200
Mailing address
CMR 467 BOX 4259, APO, AE 09096-1043
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102208896
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0102208896
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/18/2023
Last updated
03/27/2026
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