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Individual

NEIL PATRICK CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3700 WASHINGTON AVE, EVANSVILLE, IN 47714-0541
(812) 485-4291
Mailing address
PO BOX 13059, BELFAST, ME 04915-4021

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
01079139A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
01079139A
IN
2080P0203X
Pediatric Critical Care Medicine Physician
35550
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588689889
WI
05
32102100
WI
Enumeration date
07/13/2006
Last updated
08/29/2017
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