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Individual

CONRAD R LEPROWSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
370 S MARKET BLVD, CHEHALIS CHILDRENS CLINIC PS, CHEHALIS, WA 98532
(360) 748-6693
(360) 748-3619
Mailing address
370 S MARKET BLVD, CHEHALIS, WA 98532
(360) 748-6693
(360) 748-3619

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD026853
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1063684
WA
Enumeration date
10/18/2006
Last updated
07/08/2007
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