Individual
MS. JODI LEE CONDRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 E 1ST AVE, TARENTUM, PA 15084-1858
(412) 826-1065
Mailing address
301 E 1ST AVE, TARENTUM, PA 15084-1858
(412) 826-1065
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA002755L
PA
Other
Enumeration date
07/26/2005
Last updated
07/08/2007
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