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Individual

ROBERT A. CONNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7631 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-7770
(260) 436-3570
Mailing address
7631 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-7770
(260) 436-3570

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01021454
IN

Other

Enumeration date
11/18/2005
Last updated
07/08/2007
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