Individual
JOHN T CONNER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105-4131
(304) 485-3300
(304) 485-3317
Mailing address
800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105-4100
(304) 485-3300
(304) 485-3317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2050
WV
207Q00000X
Family Medicine Physician
34.009139
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2809492
—
OH
05
—
3810006179
—
WV
01
—
P00347184
RAILROAD MEDICARE WV
WV
Enumeration date
07/14/2006
Last updated
09/15/2022
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