Individual
ANDREW DONN CONKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
285 E STATE ST, SUITE 400, COLUMBUS, OH 43215-4354
(614) 566-7370
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144
(614) 544-6356
(614) 544-6370
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50.001081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094443
—
OH
Enumeration date
04/07/2006
Last updated
04/26/2016
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