Individual
DR. CONRAD E. ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1910 IDAHO ST, SUITE # 101, ELKO, NV 89801-2692
(775) 738-6256
(775) 738-9469
Mailing address
1910 IDAHO ST, SUITE #101, ELKO, NV 89801-2692
(775) 738-6256
(775) 738-9469
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
1099
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500738
—
NV
Enumeration date
02/01/2007
Last updated
03/04/2014
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