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Contact Information

COLTON R CONRAD
2530 E SHANGRI LA RD
PHOENIX, AZ85028-2543
 Phone: 480-353-8583
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for COLTON R CONRAD · (Male)

NPI # 1619847712
Status Active
Credentials
Entity Individual
Enumeration date 11/05/2025
Last updated 11/05/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # AZ00017866
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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