Organization
ADVANCED OBGYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL M CONRAD M.D. (OWNER)
(256) 881-9997
Entity
Organization
Contact information
Practice address
250 CHATEAU DR SW, STE 100, HUNTSVILLE, AL 35801-6436
(256) 881-9997
(256) 880-3838
Mailing address
250 CHATEAU DR SW, STE 100, HUNTSVILLE, AL 35801-6436
(256) 881-9997
(256) 880-3838
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22430
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17281
—
AL
Enumeration date
10/02/2014
Last updated
11/06/2014
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