# ADVANCED OBGYN PC

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

## Provider details

- **NPI number:** 1194128330
- **Authorized official:** MICHAEL M CONRAD M.D. (OWNER)
- **Authorized official phone:** (256) 881-9997

## Contact information

- **Practice address:** 250 CHATEAU DR SW, STE 100, HUNTSVILLE, AL 35801-6436
- **Practice address phone:** (256) 881-9997
- **Practice address fax:** (256) 880-3838
- **Mailing address:** 250 CHATEAU DR SW, STE 100, HUNTSVILLE, AL 35801-6436
- **Mailing address phone:** (256) 881-9997
- **Mailing address fax:** (256) 880-3838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 22430 | AL | Yes |

## Other

- **Enumeration date:** 10/02/2014
- **Last updated:** 11/06/2014