Conrad, Gary D

Conrad, Gary D is an individual health care provider with primary practice located at 2825 Parklawn Dr , Midwest City OK 73110-4201. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Conrad, Gary D can be contacted via phone (405) 610-4411.

Contact Information

Primary practice address
2825 Parklawn Dr Midwest City OK 73110-4201
Phone: (405) 610-4411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 11784 Oklahoma
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11784 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 11784 Oklahoma

Profile Details

NPI number 1144288911
LBN Legal business name Conrad, Gary D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Jun 21st, 2010 - about 14 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 1144288911 NPPES
Oklahoma MEDICAID 100110920A

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