Individual
BEAU JAMES CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1319 LEAVENWORTH ST, OMAHA, NE 68102-3215
(402) 552-3222
(402) 552-2172
Mailing address
1319 LEAVENWORTH ST, OMAHA, NE 68102-3215
(402) 552-3222
(402) 552-2172
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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