Individual provider · Type 1 NPI

John Christian Conrad Jr., P.A.

Surgical Physician Assistant · Roanoke, VA

NPI number 1043582422 Active

Practice location

4064 Postal Dr
Roanoke, VA 24018-6438

Call (540) 725-1226 Map

Fax (540) 857-5306

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X0110003758 (VA)
Medical Physician Assistant 363AM0700X0110003758 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1043582422

John Christian Conrad Jr., P.A.'s National Provider Identifier is 1043582422, issued on Feb 1, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roanoke, VA. The record was last updated on Jan 27, 2022.