Individual
DR. CONRAD HENRY DAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 W MAIN ST, RADFORD, VA 24141-1588
(540) 838-8000
(540) 982-1116
Mailing address
PO BOX 8994, ROANOKE, VA 24014-0776
(540) 982-5603
(540) 982-1116
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101023841
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945221
—
VA
01
—
0101023841
BOARD OF MEDICINE
VA
05
—
7165340
—
VA
Enumeration date
09/15/2005
Last updated
02/13/2020
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