Individual
DR. GARY CONRAD
Active
Individual
DR. GARY CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
C37034
CA
207RH0005X
Hypertension Specialist Physician
A58771
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C370340
—
CA
01
—
W2223
PTAN MEDICARE
CA
Enumeration date
05/16/2006
Last updated
02/26/2020
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