Individual
DOUGLAS S CONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 N FARABEE DRIVE, LAFAYETTE, IN 47905
(765) 447-2525
(765) 449-4206
Mailing address
214 N FARABEE DRIVE, LAFAYETTE, IN 47905
(765) 447-2525
(765) 449-4206
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01028562A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000220476
ANTHEM
IN
01
—
0174970001
DMERC
IN
05
—
1000829604
—
IN
Enumeration date
12/01/2006
Last updated
10/29/2008
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