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Individual

DANIEL CONDIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3530 S VAL VISTA DR # B109, GILBERT, AZ 85297-7318
(480) 905-8485
(480) 905-7274
Mailing address
5310 HARVEST HILL RD, STE 290, DALLAS, TX 75230-5826
(214) 420-0650
(214) 736-0512

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
S0650
TX
207ND0101X
MOHS-Micrographic Surgery Physician
S0650
TX

Other

Enumeration date
04/20/2015
Last updated
07/27/2021
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