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Individual

REBEKAH CONROY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
111 MICHIGAN AVE NW, SUITE 4800, WASHINGTON, DC 20010-2916
(202) 476-5014
(202) 476-3732
Mailing address
111 MICHIGAN AVE NW, SUITE 4800, WASHINGTON, DC 20010-2916
(202) 476-3732

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101241790
VA
208000000X
Pediatrics Physician
Primary
MD038275
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1190772
LA
05
1639173313
VA
Enumeration date
06/09/2005
Last updated
11/21/2013
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