Conley, Dean Raymond

Conley, Dean Raymond is an individual health care provider with primary practice located at 9349 Park West Blvd Suite # 202, Knoxville TN 37923-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Conley, Dean Raymond can be contacted via phone (865) 531-8294.

Contact Information

Primary practice address
9349 Park West Blvd Suite # 202 Knoxville TN 37923-4306
Phone: (865) 531-8294
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD008976 Tennessee

Profile Details

NPI number 1306826201
LBN Legal business name Conley, Dean Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306826201 NPPES
Tennessee MEDICAID 3702710

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