| NPI | 1912981754 |
|---|---|
| Other Name | G REID CONLEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: DE E10000089) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: DE E1-0000089) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2008-03-19 |