Individual
JOSEPH A CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 E 5350 S, SUITE 335, OGDEN, UT 84405-6946
(801) 475-8600
(801) 475-8686
Mailing address
425 E 5350 S, SUITE 335, OGDEN, UT 84405-6946
(801) 475-8600
(801) 475-8686
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
157844-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00466650
RR MEDICARE
UT
Enumeration date
10/17/2006
Last updated
07/22/2008
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