Individual
DANIEL CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7200
(360) 923-7299
Mailing address
700 LILLY RD NE, OLYMPIA, WA 98506-5115
(360) 923-7000
(360) 923-7089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00018110
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8100380
—
WA
Enumeration date
12/08/2006
Last updated
06/27/2019
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