Basic Information
Provider Information
NPI: 1295872547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CONAHEY
FirstName: GEORGE
MiddleName: ROBBINS
NamePrefix: DR.
NameSuffix: IV
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherLastNameType:  
Mailing Information
Address1: 3460 CORTE CLARITA
Address2:  
City: CARLSBAD
State: CA
PostalCode: 920099500
CountryCode: US
TelephoneNumber: 7605120146
FaxNumber:  
Practice Location
Address1: 4002 VISTA WAY
Address2: DEPT. OF NEONATOLOGY - PEDIATRIX MEDICAL GROUP
City: OCEANSIDE
State: CA
PostalCode: 920564506
CountryCode: US
TelephoneNumber: 7609403386
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/30/2007
LastUpdateDate: 12/02/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001X20A8196CAY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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