Individual
CLAYTON B CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106
(505) 724-4300
(505) 724-4384
Mailing address
201 CEDAR ST SE, SUITE 6600, ALBUQUERQUE, NM 87106
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2004-0285
NM
207X00000X
Orthopaedic Surgery Physician
MD2010-0085
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD2010-0085
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81880553
—
NM
Enumeration date
02/06/2007
Last updated
09/05/2013
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