Individual
COLTON RYAN CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2530 E SHANGRI LA RD, PHOENIX, AZ 85028-2543
(480) 353-8583
Mailing address
2530 E SHANGRI LA RD, PHOENIX, AZ 85028-2543
(480) 353-8583
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
AZ00017866
AZ
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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