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Individual

JOHN DAVID CONLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1327 N 16TH AVE, DURANT, OK 74701-2134
(580) 745-1011
(580) 745-5332
Mailing address
PO BOX 960251, OKLAHOMA CITY, OK 73196-0001
(580) 548-1367
(580) 548-1583

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4448
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200113430A
OK
Enumeration date
01/03/2007
Last updated
09/20/2022
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