Individual
STEPHANIE C CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0777
(602) 933-0755
Mailing address
3200 E CAMELBACK RD, STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
006598
AZ
208M00000X
Hospitalist Physician
Primary
006598
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003578
—
AZ
Enumeration date
06/07/2010
Last updated
02/27/2020
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