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Individual

DR. RICKIE CONRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
225 LILAC DR STE 200, EDMOND, OK 73034-7287
(405) 330-7000
(405) 280-5661
Mailing address
PO BOX 659506, SECTION 4142, SAN ANTONIO, TX 78265-9506
(405) 330-7000
(405) 330-7075

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
14650
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10015790A
OK
Enumeration date
02/27/2006
Last updated
11/20/2019
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