Dan P Conrad DPM`

NPI 1033113832 - Podiatrist - 213ES0103X

NPI Details
NPI 1033113832
Gender Male
Enumeration Date 06/09/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2610 JACKSON BLVD
RAPID CITY SD, 57702-3474, US
Phone (605) 348-6180
Fax (605) 348-9121
Business Location
2610 JACKSON BLVD
RAPID CITY SD, 57702-3474, US
Phone (605) 348-6180
Fax (605) 348-9121
Toxanomy
Taxonomy Code 213ES0103X
License State South Dakota
License Number 142
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According to our database, Dr. Dan P Conrad DPM` NPI is 1033113832, taxonomy code is 213ES0103X and license number is 142, license state is located at South Dakota. Dan P Conrad DPM` physically located at 2610 Jackson Blvd, Rapid City SD, 57702-3474. NPI Number Dan P Conrad DPM` has the Individual type.

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1033113832 NPI number is provided on an as is basis without warranty of any kind. 1033113832 is maintained by the National Plan & Provider Enumeration System. The contents of Dan P Conrad DPM` are for informational purposes only.