Individual
CONRADO A VALDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
763 JOHNSONBURG RD, ERPG ANESTHESIA SERVICES, ST MARYS, PA 15857-3417
(814) 788-8189
(814) 788-8387
Mailing address
763 JOHNSONBURG RD, ERPG ANESTHESIA SERVICES, ST MARYS, PA 15857-3417
(814) 788-8189
(814) 788-8387
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD037357L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008473230005
—
PA
05
—
1018557990001
—
PA
Enumeration date
08/10/2005
Last updated
07/08/2007
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