person
John Christian Conrad JR., PA
Medical Physician Assistant in Roanoke, Virginia
NPI 1043582422

John Christian Conrad JR. is a Medical Physician Assistant based in Roanoke, VA and is specialized in Medical. John Christian Conrad JR. practices in Roanoke, VA and has the professional credentials of PA. The NPI Number for John Christian Conrad JR. is 1043582422 and holds a License No. 0110003758 (Virginia).

The current practice location address for John Christian Conrad JR. is 4064 Postal Dr, Roanoke, VA and can be reached out via phone at 540-725-1226 and via fax at 540-857-5306.

Location: 4064 Postal Dr, Roanoke, VA, 24018-6438
person
Provider Profile Details
NPI Number
1043582422
Provider Name
John Christian Conrad JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4064 Postal Dr, Roanoke, VA, 24018-6438
Phone Number
540-725-1226
Fax Number
540-857-5306
Provider Enumeration Date
02/01/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1043582422 01 VA SOUTHERN HEALTH/CARENET/CARELINK/COVENTRY
1043582422 01 VA OPTIMA HEALTH PLAN
1043582422 01 VA INTOTAL
1043582422 01 VA HUMANA MEDICARE
1043582422 01 VA AETNA
540506332115 01 VA TRICARE/CHAMPUS
1043582422 01 VA ANTHEM MEDIGAP
P01072820 01 VA RAILROAD MEDICARE
1043582422 01 VA MEDICAID QMB
institution
Provider Business Practice Location Address Details
Address
4064 Postal Dr
City
State
Zip
24018-6438
Phone Number
540-725-1226
Fax Number
540-857-5306
person
Provider Business Mailing Address Details
Address
4064 Postal Dr
City
State
Zip
24018-6438
Phone Number
540-725-1226
Fax Number
540-857-5306
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0110003758 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0110003758 (Virginia)
Definition
Definition to come...
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