Healthcare Provider Details

I. General information

NPI: 1013763465
Provider Name (Legal Business Name): TONYA M CONLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 WISCONSIN AVENUE WALTER REED NATIONAL MILITARY MEDICAL CENTER
BETHESDA MD
20889
US

IV. Provider business mailing address

8901 WISCONSIN AVE
BETHESDA MD
20889-0004
US

V. Phone/Fax

Practice location:
  • Phone: 301-295-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number0101287756
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: