Individual
DR. RYAN SCOTT CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
124 PROFESSIONAL PARK DR, SUITE C, MOORESVILLE, NC 28117-5609
(704) 662-3077
(704) 662-3458
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 662-3077
(704) 662-3458
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
009000335
NC
2084N0400X
Neurology Physician
Primary
2005-01316
NC
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
2015-01316
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901715
—
NC
Enumeration date
06/05/2006
Last updated
02/21/2014
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