Individual
DR. CONNOR BLAINE VENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 ROCK MERRITT AVE STOP A, FORT BRAGG, NC 28310-1109
(303) 475-7759
Mailing address
2817 ROCK MERRITT AVE STOP A, FORT BRAGG, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
36052
WV
207X00000X
Orthopaedic Surgery Physician
Primary
MD21363
HI
Other
Enumeration date
03/25/2019
Last updated
12/08/2025
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