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Individual

DR. ETHEL FELICIA CONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3601 SOUTH 6TH AVENUE, TUCSON, AZ 85723
(520) 729-1450
(520) 629-4976
Mailing address
1801 E. VICO BELLA LUNA, ORO VALLEY, AZ 85737
(515) 205-2140
(515) 699-5511

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29386
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0172312
IA
05
1558321067
IA
Enumeration date
03/27/2006
Last updated
07/28/2023
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