Individual
DR. CONRAD ALLAN HENRY
Active
Individual
DR. CONRAD ALLAN HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101033212
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180000672
RAILROAD MEDICARE
VA
01
—
322145
ANTHEM BLUE CROSS
VA
05
—
66399827
—
VA
Enumeration date
08/01/2006
Last updated
12/15/2009
Update your record
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