Organization Name: | DAVID E. CONDON D.P.M. |
NPI Number: | 1306014311 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID E. CONDON (DOCTOR/OWNER) |
Mailing Address: | 10956 Donner Pass Rd #310 Truckee |
State: | CA US |
Postal Code: | 961614861 |
Phone Number: | 5305877790 |
Fax Number: | 5305874293 |
NPI Enumeration Date: | 02/12/2008 |
NPI Last Update Date: | 09/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 9403 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |