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NPI Code Detail

MEDICARE: DR. AMY CONNORS MD

MEDICARE: DR. AMY CONNORS 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
1208000000XPediatrics Physician01046891AIN

General Provider Information

NPI Number : 1881642262
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY CONNORS MD
Provider Business Mailing Address
First Line : 690 BARNES BLVD
Second Line : MCCHORD FIELD
City : JOINT BASE LEWIS MCCHORD
State : WA
Zip : 98438-1303
Country : US
Telephone Number : 253-982-0328
Fax Number : 253-982-2339
Provider Business Practice Location Address
First Line : 690 BARNES BLVD
Second Line : MCCHORD FIELD
City : JOINT BASE LEWIS MCCHORD
State : WA
Zip : 98438-1303
Country : US
Telephone Number : 253-982-0328
Fax Number : 253-982-2339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 12/05/2014

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