Individual
CHARLES CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 333-7200
Mailing address
118 E 16TH ST, BARTLESVILLE, OK 74003-5801
(918) 713-1508
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
121468
OK
Other
Enumeration date
02/11/2020
Last updated
11/27/2023
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