Individual
DR. CONRAD C NIEVERA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 E 5TH AVE, SPOKANE, WA 99202-1334
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
(509) 838-2531
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35243
WI
2084N0400X
Neurology Physician
MD60209370
WA
2084N0600X
Clinical Neurophysiology Physician
Primary
MD60209370
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003806261C
HUMANA
—
05
—
34312700
—
WI
Enumeration date
05/17/2006
Last updated
10/09/2012
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