Individual
DANIEL J CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HIGHWAY 191 AND HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7050
(928) 674-7600
Mailing address
PO BOX PH, CHINLE, AZ 86503-8000
(928) 674-7050
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
01027750A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
15244
AZ
2084P0804X
Child & Adolescent Psychiatry Physician
56064
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244939
—
AZ
05
—
2703382
—
OH
Enumeration date
10/12/2005
Last updated
03/07/2023
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