NPI 1619847712

Colton Ryan Conrad

Practitioner Basic Emergency Medical Technician Phoenix, AZ

Practice location

Address: 19601 N Black Canyon Hwy STE 101, Phoenix, AZ 85027-4107
Phone: (855) 223-7123
Mailing address: PO Box 740780, Atlanta, GA 30374-0780

Registered specialties (2)

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence AZ00017866 (AZ)

Other Emergency Medical Technician, Basic providers in Arizona →

Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Arizona →

Registry record

NPI: 1619847712
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Nov 2025
Record last updated: 16 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.