Individual
PAUL CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
71 WAYNE ST, FORT GAY, WV 25514-8518
(304) 648-5544
(304) 648-5989
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
00524
WV
Other
Enumeration date
03/09/2007
Last updated
08/11/2011
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