person
Paul R Conkling, MD
Specialist in Norfolk, Virginia
NPI 1063417806

Paul R Conkling is a Specialist based in Norfolk, VA. Paul R Conkling practices in Norfolk, VA and has the professional credentials of MD. The NPI Number for Paul R Conkling is 1063417806 and holds a License No. 0101043323 (Virginia).

The current practice location address for Paul R Conkling is 5900 Lake Wright Dr, Norfolk, VA and can be reached out via phone at 757-466-8683 and via fax at 757-466-8892. You can also correspond with Paul R Conkling through the mailing address at 5900 LAKE WRIGHT DR, NORFOLK, VA - 23502-1871 (mailing address contact number: 757-213-5700).

Location: 5900 Lake Wright Dr, Norfolk, VA, 23502-1871
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Provider Profile Details
NPI Number
1063417806
Provider Name
Paul R Conkling
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5900 Lake Wright Dr, Norfolk, VA, 23502-1871
Phone Number
757-466-8683
Fax Number
757-466-8892
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
006099131 05 VA
830003777 01 VA RAILROAD MEDICARE
15064 01 VA OPTIMA
institution
Provider Business Practice Location Address Details
Address
5900 Lake Wright Dr
City
State
Zip
23502-1871
Phone Number
757-466-8683
Fax Number
757-466-8892
person
Provider Business Mailing Address Details
Address
5900 Lake Wright Dr
City
State
Zip
23502-1871
Phone Number
757-213-5700
Fax Number
757-213-5701
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
0101043323 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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