Individual
ELIZABETH J MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6245 N 16TH ST, PHOENIX, AZ 85016-1706
(602) 253-4271
(602) 253-4273
Mailing address
PO BOX 5458, BELFAST, ME 04915-5400
(602) 253-4271
(602) 253-4273
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
28532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526874
—
AZ
Enumeration date
08/17/2005
Last updated
11/30/2011
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