CONRAD JOSEPH DANIEL

INDIANAPOLIS, IN
NPI1598449860
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA224057)
Additional Taxonomies363A00000X Physician Assistant
363A00000X Physician Assistant
(Licence: IN  10004307A)
Enumeration Date2023-06-14
Last Update Date2025-05-06
Business Address
CONRAD JOSEPH DANIEL
1230 E CRAGMONT DR
INDIANAPOLIS, IN 46227-4834
Phone number: 317-437-9880
Mailing Address
CONRAD JOSEPH DANIEL
1230 E CRAGMONT DR
INDIANAPOLIS, IN 46227-4834
Phone number: 317-437-9880