Healthcare Provider Details

I. General information

NPI: 1669438628
Provider Name (Legal Business Name): STEVEN A CONNER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 06/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9102 BABCOCK BLVD SUITE 109
PITTSBURGH PA
15237
US

IV. Provider business mailing address

9102 BABCOCK BLVD SUITE 109
PITTSBURGH PA
15237-5819
US

V. Phone/Fax

Practice location:
  • Phone: 412-367-8404
  • Fax: 412-367-5144
Mailing address:
  • Phone: 412-367-8404
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC002059L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: