Whalio Doctors

NPI 1710052865

Vicki Joyce Conrad, MD

Practitioner General Practice Physician Edmond, OK

Practice location

Address
1616 S Boulevard St Suite B, Edmond, OK 73013-5155
Phone
(405) 341-5691
Fax
(405) 348-7543

Registered specialties

General Practice Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 14083 (OK)

Registry record

NPI
1710052865
Entity type
Individual
Sex (as registered)
Female
NPI issued
22 Nov 2006
Record last updated
9 Jul 2007

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.