Joseph A Conrad
Geriatric Medicine
425 E 5350 S Suite 335
Ogden
, Utah 84405-6946
Joseph A Conrad
Geriatric Medicine
425 E 5350 S Suite 335
Ogden
, Utah 84405-6946
(801) 475-8686
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Joseph A Conrad
- 425 E 5350 S Suite 335
- Ogden, UT
- Zip : 84405-6946
- Fax : (801) 475-8686
- Phone : (801) 475-8600
Second Address
- Joseph A Conrad
- 425 E 5350 S Suite 335
- Ogden, UT
- Zip : 84405-6946
- Fax : (801) 475-8686
- Phone : (801) 475-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 157844-1205 | UT |
National Provider Identifier
| NPI | 1164502662 |
|---|---|
| Provider Name | Joseph A Conrad |
| First Address | Ogden, UT 84405-6946 |
| Second Address | Ogden, UT 84405-6946 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/10/2006 |
| Last Update Date | 22/07/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| P00466650 | RR MEDICARE (01) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.