Individual
GARY J CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 WYOMING ST, SUITE 4130, DAYTON, OH 45409-2722
(937) 208-6810
(937) 222-7255
Mailing address
5100 SPRINGFIELD ST, SUITE 400, DAYTON, OH 45431-1261
(937) 259-9900
(937) 259-9999
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD024974E
PA
207VG0400X
Gynecology Physician
Primary
20076
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001403635-0015
—
PA
01
—
03479303
MEDICAID UP MS MC
MS
01
—
19587
ACOG
PA
01
—
512G700003
UP MCARE PTAN
MS
01
—
C30324
UPIN
PA
01
—
P00707005
RAILROAD PTAN
MS
Enumeration date
08/19/2006
Last updated
11/23/2010
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