Individual
PETER CONDRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
671 HIOAKS RD, SUITE B, RICHMOND, VA 23225
(804) 272-5814
(804) 560-0232
Mailing address
671 HIOAKS RD, SUITE B, RICHMOND, VA 23225
(804) 272-5814
(804) 560-0232
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101037802
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6075991
—
VA
Enumeration date
07/11/2005
Last updated
11/11/2016
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