Individual
DENISE CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
899 E BROAD ST, 1ST FLOOR, COLUMBUS, OH 43205-1156
(614) 355-8000
(614) 355-8018
Mailing address
899 E BROAD ST, 1ST FLOOR, COLUMBUS, OH 43205-1156
(614) 355-8000
(614) 355-8018
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08258
—
OH
Enumeration date
10/02/2009
Last updated
10/02/2009
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