Individual
PAMELA CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
700 CHIEF EDDIE HOFFMAN HIGHWAY, BETHEL, AK 99559-0287
(907) 543-6300
Mailing address
P.O. BOX 166, BETHEL, AK 99559-0166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001218
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD4963
—
AK
Enumeration date
05/01/2007
Last updated
07/08/2007
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