Organization
ANTHONY G CONRARDY MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY G CONRARDY MD (OWNER)
(262) 914-0754
Entity
Organization
Contact information
Practice address
1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
(309) 762-9711
(309) 762-9747
Mailing address
1634 AVENUE OF THE CITIES, MOLINE, IL 61265-4860
(309) 762-9711
(309) 762-9747
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036124893
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036124893
STATE OF ILLINOIS
IL
Enumeration date
07/22/2013
Last updated
07/22/2013
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