Paul R Conkling, MD Valid NPI
Individual provider · Specialist · Norfolk, VA
- NPI
- 1063417806
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 0101043323 (VA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-06-17
- Last updated
- 2011-04-11
Practice location
5900 Lake Wright Dr
Norfolk, VA 23502-1871
(757) 466-8683