Individual
CONRADO DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 CANTERBURY LN, MOSES LAKE, WA 98837-1822
(509) 592-9921
(509) 357-4645
Mailing address
403 CANTERBURY LN, MOSES LAKE, WA 98837-1822
(509) 592-9921
(509) 329-6141
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00024096
WA
208000000X
Pediatrics Physician
Primary
MD00024096
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017094
—
WA
Enumeration date
08/13/2006
Last updated
04/09/2019
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