DR. Edgar M. Conrad IV, D.O.

NPI #1124055074 in Joplin, Missouri

Provider Information

NPI Number: 1124055074
Entity Type: Individual
Name: DR. Edgar M. Conrad IV, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: D.O.
Enumeration Date: Jun 27, 2006
Last Updated: Aug 10, 2011

Practice Location

Address: 2727 E. 32ND ST
Address 2: STE 1
City: Joplin
State: Missouri
ZIP Code: 64804
Phone: (417) 782-3292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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