Individual
DR. HARRY NELSON CONLEY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Mailing address
11995 SINGLETREE LN STE 500, EDEN PRAIRIE, MN 55344-5349
(952) 595-1301
(612) 294-4903
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
MD60451712
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60451712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036400
—
WA
Enumeration date
04/13/2011
Last updated
02/03/2021
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