Individual
WILLIAM J. CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1017 W 7TH ST, WRAY, CO 80758-1420
(970) 332-4895
(370) 332-3235
Mailing address
PO BOX 216, WRAY, CO 80758-0216
(970) 332-4895
(970) 332-3235
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04650040
—
CO
Enumeration date
04/27/2006
Last updated
12/17/2009
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