Individual
DR. MATTHEW M CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
690 N COFCO CENTER CT, SUITE 270, PHOENIX, AZ 85008-6462
(602) 393-1010
(602) 393-1011
Mailing address
P.O. BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
23552
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
321745
—
AZ
01
—
3Z3952
HEALTHNET
AZ
Enumeration date
08/20/2006
Last updated
07/16/2014
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