# ANTHONY G CONRARDY MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073955977
- **Authorized official:** ANTHONY G CONRARDY MD (OWNER)
- **Authorized official phone:** (262) 914-0754

## Contact information

- **Practice address:** 1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
- **Practice address phone:** (309) 762-9711
- **Practice address fax:** (309) 762-9747
- **Mailing address:** 1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
- **Mailing address phone:** (309) 762-9711
- **Mailing address fax:** (309) 762-9747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 036124893 | IL | Yes |

## Other

- **Enumeration date:** 07/22/2013
- **Last updated:** 07/22/2013