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NPI Code Detail

MEDICARE: STEPHEN E CONRAD MD

MEDICARE: STEPHEN E CONRAD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianC32475CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588670186
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN E CONRAD MD
Provider Business Mailing Address
First Line : 1850 SULLIVAN AVE
Second Line : SUITE 330
City : DALY CITY
State : CA
Zip : 94015-2223
Country : US
Telephone Number : 650-756-5630
Fax Number : 650-756-0136
Provider Business Practice Location Address
First Line : 1850 SULLIVAN AVE
Second Line : SUITE 330
City : DALY CITY
State : CA
Zip : 94015-2223
Country : US
Telephone Number : 650-756-5630
Fax Number : 650-756-0136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 11/18/2008

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Directions to “ STEPHEN E CONRAD MD” Practice Location

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