Individual
CONRAD JOSEPH DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1230 E CRAGMONT DR, INDIANAPOLIS, IN 46227-4834
(317) 437-9880
Mailing address
1230 E CRAGMONT DR, INDIANAPOLIS, IN 46227-4834
(317) 437-9880
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10004307A
IN
363A00000X
Physician Assistant
Primary
PA224057
OR
363A00000X
Physician Assistant
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Other
Enumeration date
06/14/2023
Last updated
05/06/2025
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