Individual
EARL EDWIN CONAWAY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1198 CLARK ST, CAMBRIDGE, OH 43725-1636
(740) 432-6012
(740) 435-8552
Mailing address
1198 CLARK ST, CAMBRIDGE, OH 43725-1636
(740) 432-6012
(740) 435-8552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-050964
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0626719
—
OH
Enumeration date
11/08/2006
Last updated
07/08/2007
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