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NPI Code Detail

MEDICARE: DR. VICTORIA LYNN CONNIFF MD

MEDICARE: DR. VICTORIA LYNN CONNIFF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207V00000XObstetrics & Gynecology Physician0101274209VA
3208D00000XGeneral Practice Physician0101274209VA

General Provider Information

NPI Number : 1255834214
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VICTORIA LYNN CONNIFF MD
Provider Business Mailing Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 502-773-8480
Fax Number :
Provider Business Practice Location Address
First Line : 3551 ROGER BROOKE DR
Second Line :
City : FORT SAM HOUSTON
State : TX
Zip : 78234-4504
Country : US
Telephone Number : 502-773-8480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2018
Last Update Date : 06/15/2026

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