| Doctor Name: | DR. CALDER BRYCE CONNER |
| NPI Number: | 1770537433 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | G54830 |
| Business Practice Address: | 2587 Merced St San Leandro, CA - 945774207 |
| Business Phone Number: | 5103513553 |
| Business Fax Number: | 5103513585 |
| Mailing Address: | 699 Lewelling Blvd, Suite 146-337 SAN LEANDRO |
| State: | CA |
| Postal Code: | 945791870 |
| Phone Number: | 5105049660 |
| Fax Number: | 5103513585 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 07/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G54830 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |