Individual
MRS. VIRGINIA E. CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 125, BALTIMORE, MD 21236-5908
(443) 461-1997
(443) 461-1998
Mailing address
PO BOX 758952, BALTIMORE, MD 21275-8952
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C04264
MD
Other
Enumeration date
10/28/2010
Last updated
09/24/2014
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