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NPI Code Detail

MEDICARE: DR. DONALD CONKLIN M.D.

MEDICARE: DR. DONALD CONKLIN M.D.
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
1207R00000XInternal Medicine Physician00027006AL
2207R00000XInternal Medicine PhysicianE-10536AR
3207R00000XInternal Medicine PhysicianH4314TX
4207R00000XInternal Medicine PhysicianMD-40980IA

General Provider Information

NPI Number : 1285613323
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD CONKLIN M.D.
Provider Business Mailing Address
First Line : 3410 98TH ST STE 4303
Second Line :
City : LUBBOCK
State : TX
Zip : 79423-3847
Country : US
Telephone Number : 256-577-8377
Fax Number :
Provider Business Practice Location Address
First Line : 1001 PENNSYLVANIA AVE
Second Line :
City : OTTUMWA
State : IA
Zip : 52501-6427
Country : US
Telephone Number : 641-984-2341
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2006
Last Update Date : 01/26/2021

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Directions to “ DR. DONALD CONKLIN M.D.” Practice Location

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