Provider Demographics
NPI:1356629810
Name:CONBOY, CHRISTOPHER LEE (PA-C)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:LEE
Last Name:CONBOY
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1145 STURGIS RD.
Mailing Address - Street 2:NAVAL HOSPITAL TWENTYNINE PALMS
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92278-1831
Mailing Address - Country:US
Mailing Address - Phone:760-830-2621
Mailing Address - Fax:760-830-2601
Practice Address - Street 1:1145 STURGIS RD.
Practice Address - Street 2:NAVAL HOSPITAL TWENTYNINE PALMS
Practice Address - City:TWENTYNINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92278-1831
Practice Address - Country:US
Practice Address - Phone:760-830-2621
Practice Address - Fax:760-830-2601
Is Sole Proprietor?:No
Enumeration Date:2011-08-01
Last Update Date:2011-08-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant