Healthcare Provider Details

I. General information

NPI: 1962306332
Provider Name (Legal Business Name): CONNOR RICE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 HPW - UNITED STATES AIR FORCE SCHOOL OF AEROSPACE M 2510 5TH STREET, BLDG. 840, RM W116, WRIGHT-PATTERSON A
DAYTON OH
45433-7913
US

IV. Provider business mailing address

711 HPW - UNITED STATES AIR FORCE SCHOOL OF AEROSPACE M 2510 5TH STREET, BLDG. 840, RM W116, WRIGHT-PATTERSON A
DAYTON OH
45433-7913
US

V. Phone/Fax

Practice location:
  • Phone: 519-319-7274
  • Fax: 937-904-8946
Mailing address:
  • Phone: 519-319-7274
  • Fax: 937-904-8946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: