Individual
JOHN WILLIAM CONRAD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2411 REICHART RD, BLOOMSBURG, PA 17815-8969
(570) 854-1174
Mailing address
2411 REICHART RD, BLOOMSBURG, PA 17815-8969
(570) 854-1174
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
YM001262L
PA
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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