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Individual

FORREST CRAIG CONRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5423 RENO CORPORATE DR., RENO, NV 89511-2250
(775) 329-0873
(775) 329-1026
Mailing address
236 W 6TH ST, SUITE 400, RENO, NV 89503-4517
(775) 329-0873
(775) 329-1026

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5454
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2016449
NV
Enumeration date
06/06/2006
Last updated
11/21/2018
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