Individual
DR. LEONARD CONRADSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-4050
(701) 227-4050
Mailing address
300 13TH AVE W STE 1, DICKINSON, ND 58601-4875
(701) 227-4050
(701) 227-4050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7491
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014100
BC/BS
ND
01
—
260028893
TRIWEST
ND
05
—
54523
—
ND
Enumeration date
07/17/2006
Last updated
11/28/2008
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