Organization
DR. WAYNE R. CONRAD & ASSOC., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE R CONRAD OD (PRESIDENT)
(206) 464-7916
Entity
Organization
Contact information
Practice address
4401 4TH AVE S, SEATTLE, WA 98134-2311
(206) 464-7916
Mailing address
4401 4TH AVE S, SEATTLE, WA 98134-2311
(206) 464-7916
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TX1208
WA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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