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John Conrad
NPI 1821692880 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2411 Reichart Rd
Bloomsburg, PA 17815 - Phone
- (570) 854-1174
Registry record
- Primary taxonomy
- 227900000X
227900000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania