Individual
MR. PATRICK WELLINGTON CONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 S SUTTER DR, SUITE 11, SHOW LOW, AZ 85901-8050
(928) 537-9844
(928) 537-4437
Mailing address
5300 S SUTTER DR, SUITE 11, SHOW LOW, AZ 85901-8050
(928) 537-9844
(928) 537-4437
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34632
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255429353
GROUP NPI
AZ
Enumeration date
10/13/2005
Last updated
08/25/2016
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