Sean R. Conrad, PA-C
Physician Assistant, Surgical in Hermitage, PA. Individual provider (NPI-1).
NPI number1972508158
StatusActive
Last updated in NPPESApr 10, 2023
Details
- NPI
- 1972508158
- Entity type
- Individual (NPI-1)
- Name
- Sean R. Conrad
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2005
- Certification date
- Apr 10, 2023
- Last updated
- Apr 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | OA000881 | PA | Yes |
| 363A00000X | Physician Assistant | 50.002573 | OH |
Practice location
449 N Hermitage RdHermitage, PA 16148-3342
Phone 724-962-9622
Mailing address
449 N Hermitage RdHermitage, PA 16148-3342
Phone 724-962-9622
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