Diven, Conrad Franklin

Diven, Conrad Franklin is an sole proprietor health care provider with primary practice located at 13677 W Mcdowell Rd Suite 201, Goodyear AZ 85395. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Diven, Conrad Franklin can be contacted via phone (623) 536-4200.

Contact Information

Primary practice address
13677 W Mcdowell Rd Suite 201 Goodyear AZ 85395
Phone: (623) 536-4200
Fax: (623) 882-4201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 46967 Arizona
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 46967 Arizona
Allopathic & Osteopathic Physicians / Surgery 208600000X 46967 Arizona

Profile Details

NPI number 1386843811
LBN Legal business name Diven, Conrad Franklin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2007
Last updated Aug 22nd, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386843811 NPPES
Arizona MEDICAID 901433

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