Individual
DR. RANDALL EARL CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12845 POWAY RD, STE. 209, POWAY, CA 92064-4529
(858) 748-6210
(858) 748-6224
Mailing address
472 NILA, POWAY, CA 92020
(619) 444-7269
(858) 748-6224
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
6423T
CA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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