Doctor Name: | DAVID E CONDON |
NPI Number: | 1225127673 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | 9403 |
Business Practice Address: | 10956 Donner Pass Rd #310 Truckee, CA - 961614861 |
Business Phone Number: | 5305877790 |
Business Fax Number: | 5305874293 |
Mailing Address: | Po Box 10069, TRUCKEE |
State: | CA |
Postal Code: | 961620069 |
Phone Number: | 5305877790 |
Fax Number: | 5305874293 |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 04/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 9403 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |