Individual
BARTH T CONARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8177 CLEARVISTA PKWY, INDIANAPOLIS, IN 46256-1662
(317) 621-7801
(317) 621-7205
Mailing address
6443 OXBOW WAY, INDIANAPOLIS, IN 46220-7108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01028117A
IN
207X00000X
Orthopaedic Surgery Physician
01028117A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063580A
—
IN
01
—
P01197279
RR MEDICARE PTAN
IN
Enumeration date
02/14/2006
Last updated
01/17/2020
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