Individual
DR. BRENT LOGAN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-4717
(509) 397-3501
Mailing address
1200 W FAIRVIEW ST, COLFAX, WA 99111-9552
(509) 397-3435
(509) 397-3501
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61573658
WA
Other
Enumeration date
03/26/2021
Last updated
12/18/2024
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