| Doctor Name: | MS. JODI LEE CONDRON |
| NPI Number: | 1346240017 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | MA002755L |
| Business Practice Address: | 301 E 1st Ave Tarentum, PA - 150841858 |
| Business Phone Number: | 4128261065 |
| Business Fax Number: | |
| Mailing Address: | 301 E 1st Ave, TARENTUM |
| State: | PA |
| Postal Code: | 150841858 |
| Phone Number: | 4128261065 |
| Fax Number: | |
| NPI Enumeration Date: | 07/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | MA002755L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |