DR. Jon W. Conrad, D.O.

NPI #1336111343 in Coffeyville, Kansas

Provider Information

NPI Number
1336111343
Entity Type
Individual
Name
DR. Jon W. Conrad, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.O.
Enumeration Date
Feb 3, 2006
Last Updated
Jan 23, 2015

Practice Location

Address
808 WILLOW ST
State
Kansas
ZIP Code
67337-5851
Phone
(620) 251-3920

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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