Individual provider · NPI-1
Dr. Connor Ross Deal, M.D.
Hospitalist · Cody, WY
NPI number1376989277
StatusActive
Last updated in NPPESMay 3, 2024
Details
- NPI
- 1376989277
- Entity type
- Individual (NPI-1)
- Name
- Dr. Connor Ross Deal
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 17, 2013
- Certification date
- May 3, 2024
- Last updated
- May 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 16907A | WY | Yes |
| 208M00000X | Hospitalist | DR.0064642 | CO | |
| 207R00000X | Internal Medicine | 16907A | WY | |
| 208M00000X | Hospitalist | 036-140289 | IL |
Practice location
707 Sheridan AveCody, WY 82414-3409
Phone 307-527-7501
Mailing address
707 Sheridan AveCody, WY 82414-3409
Phone 307-527-7501
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