Provider Demographics
NPI:1417586710
Name:PATRICK, CONNER ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:CONNER
Middle Name:ALEXANDER
Last Name:PATRICK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:800 STANTON L YOUNG BLVD # 3400
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5018
Mailing Address - Country:US
Mailing Address - Phone:405-271-5964
Mailing Address - Fax:405-271-3461
Practice Address - Street 1:711 STANTON L YOUNG BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5023
Practice Address - Country:US
Practice Address - Phone:405-271-4906
Practice Address - Fax:405-271-4910
Is Sole Proprietor?:No
Enumeration Date:2020-04-07
Last Update Date:2020-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK36290207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery