Individual
DR. BETH A CONRARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(636) 386-9224
(636) 386-7679
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2011013355
MO
207LP2900X
Pain Medicine (Anesthesiology) Physician
2011013355
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130988
—
IL
Enumeration date
08/14/2007
Last updated
08/13/2024
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