Individual
IAN M CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3200 TYRE NECK RD, SUITE 101, PORTSMOUTH, VA 23703-3329
(757) 399-7451
(757) 399-1158
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(757) 399-7451
(757) 399-1158
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101249073
VA
Other
Enumeration date
12/03/2007
Last updated
06/30/2021
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