Provider Demographics
NPI:1386742518
Name:CONLEY, SEAN PATRICK (DO)
Entity type:Individual
Prefix:DR
First Name:SEAN
Middle Name:PATRICK
Last Name:CONLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 PENNSYLVANIA AVE NW
Mailing Address - Street 2:EEOB ROOM 94
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20500-0003
Mailing Address - Country:US
Mailing Address - Phone:202-757-2476
Mailing Address - Fax:
Practice Address - Street 1:1600 PENNSYLVANIA AVE NW
Practice Address - Street 2:EEOB ROOM 94
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20500-0003
Practice Address - Country:US
Practice Address - Phone:202-757-2476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202056207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine