| Doctor Name: | RICHARD CONKLIN |
| NPI Number: | 1023150711 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 2 Clifton Dr Bloomsburg, PA - 178153075 |
| Business Phone Number: | 8008287711 |
| Business Fax Number: | |
| Mailing Address: | 2 Clifton Dr, BLOOMSBURG |
| State: | PA |
| Postal Code: | 178153075 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246W00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Cardiology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures. |