Most Relevant Information
Provider Data
| NPI Number: | 1003566019 |
| Provider Name: | CONNOR JOSEPH BREIDENBACH DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2022 |
| Last Updated: | 03/24/2022 |
Provider Practice Location
2020 59TH ST W
BRADENTON
FL
342094604
Practice Location Phone/Fax
| Phone: | 9417926611 |
| Fax: |
Provider Mailing Location
2020 59TH ST W
BRADENTON
FL
342094604
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |