Provider Demographics
NPI:1528599511
Name:CONNER, EDWARD ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:ALEXANDER
Last Name:CONNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1215 LEE ST
Mailing Address - Street 2:BOX 800793
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0816
Mailing Address - Country:US
Mailing Address - Phone:434-924-1955
Mailing Address - Fax:434-982-1841
Practice Address - Street 1:17722 TALBOT RD S
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5744
Practice Address - Country:US
Practice Address - Phone:425-690-3479
Practice Address - Fax:425-690-9479
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2022-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101271555207V00000X
WAMD61244542207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology