CONRAD JOSEPH DANIEL
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1598449860- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1230 E CRAGMONT DR, INDIANAPOLIS, IN, 462274834
- Phone
- (317) 437-9880
Specialties & Taxonomies
Physician Assistant
Physician Assistant
License: IN #10004307A
Physician Assistant
Primary License: OR #PA224057