Individual
CONRAD B. ADDISON
Active
Individual
CONRAD B. ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MED-RES-LIC-67459
MT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
109458
MT
207RS0012X
Sleep Medicine (Internal Medicine) Physician
12229852-1205
UT
2080P0214X
Pediatric Pulmonology Physician
Primary
12229852-1205
UT
Other
Enumeration date
03/18/2018
Last updated
06/30/2026
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