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Contact Information

JOHN M CONN SR, MD
2222 N NEVADA AVE
SUITE 5017
COLORADO SPRINGS, CO80907-6819
 Phone: 719-635-2501
 Fax: 719-632-1062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JOHN M CONN SR · (Male)

NPI Number 1316986060
Status Active
Credentials MD
Entity Individual
Enumeration date 06/06/2006
Last updated 03/02/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 32309
  • CO License # 46381
  • AZ Medicaid 875049
  • AZ Other AZ0755890 BCBS
  • AZ Other P00152283 MEDICARE RAILROAD
Hospital affiliation(s)
  • CENTURA HEALTH-PENROSE ST FRANCIS HEALTH SERVICES - (Acute Care)
    2222 N NEVADA AVE
    COLORADO SPRINGS, CO 80907
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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