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CONRAD J CLEMENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-4750
(520) 874-4751
Mailing address
2701 E ELVIRA RD, TUCSON, AZ 85756-7124
(520) 874-3500

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29838
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
370019741
RAILROAD MEDICARE
AZ
05
626864
AZ
Enumeration date
02/08/2006
Last updated
12/04/2008
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