Individual
DR. DAVID REED CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 785-4100
(210) 292-3760
Mailing address
9592 N DEERFIELD LN, CEDAR HILLS, UT 84062-7707
(210) 216-4742
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
35-067004
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M-12609
ID
208D00000X
General Practice Physician
036.127977
IL
Other
Enumeration date
01/05/2006
Last updated
05/08/2015
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