Conrad, Clayton B

Conrad, Clayton B is an individual health care provider with primary practice located at 201 Cedar St Se Suite 6600, Albuquerque NM 87106. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Conrad, Clayton B can be contacted via phone (505) 724-4300.

Contact Information

Primary practice address
201 Cedar St Se Suite 6600 Albuquerque NM 87106
Phone: (505) 724-4300
Fax: (505) 724-4384
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2004-0285 New Mexico
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD2010-0085 New Mexico
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD2010-0085 New Mexico

Profile Details

NPI number 1033258058
LBN Legal business name Conrad, Clayton B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033258058 NPPES
New Mexico MEDICAID 81880553

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