NPI 1720046600 · live from the CMS NPI Registry
Jeffrey Mark Conrad, MD
Orthopaedic Surgery, Sports Medicine in Mobile, AL. National Provider Identifier 1720046600, active.
NPI record
| NPI | 1720046600 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Sports Medicine 207XX0005X |
| Practice location | 6144 Airport Blvd, Mobile, AL 36608 |
| Practice phone | 251-476-5050 |
| Mailing address | Po Box 86144, Mobile, AL 36689 |
| Enumerated | May 2, 2006 |
| Last updated | January 20, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery, Sports Medicine primary | 207XX0005X | 00025851 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.