Individual
STEPHANIE D CONDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
4720 SI 10 SERVICE RD, #502, METAIRIE, LA 70001
(504) 885-6060
(504) 887-2114
Mailing address
4720 SI 10 SERVICE RD, #502, METAIRIE, LA 70001
(504) 885-6060
(504) 887-2114
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
PA A10172 RX
LA
Other
Enumeration date
04/27/2007
Last updated
07/08/2007
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