Individual
DR. JOHN J CONNOLLY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19550 E 39TH ST S, SUITE 245, INDEPENDENCE, MO 64057-2303
(816) 373-0655
(816) 478-6374
Mailing address
19550 E 39TH ST S, SUITE 245, INDEPENDENCE, MO 64057-2303
(816) 373-0655
(816) 478-6374
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
104160
MO
Other
Enumeration date
05/05/2006
Last updated
06/15/2009
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