Provider Demographics
NPI:1689952111
Name:CONNER, JULIUS STANLEY I (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:STANLEY
Last Name:CONNER
Suffix:I
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:801 SCHOOL ST.
Mailing Address - Street 2:CORINTHIAN FREE CLINIC
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309
Mailing Address - Country:US
Mailing Address - Phone:515-243-4073
Mailing Address - Fax:515-284-5448
Practice Address - Street 1:801 SCHOOL STREET
Practice Address - Street 2:CORINTHIAN FREE CLINIC
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1207
Practice Address - Country:US
Practice Address - Phone:515-243-4073
Practice Address - Fax:515-284-5448
Is Sole Proprietor?:No
Enumeration Date:2011-08-02
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA16446208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics