Individual
JOHN RAYMOND CONDIE
Active
Individual
JOHN RAYMOND CONDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-053657
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
44762
AZ
Other
Enumeration date
08/20/2008
Last updated
09/25/2013
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