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Individual

DR. JOHN DOUGLAS CONDIE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2505 SAMARITAN DRIVE, SUITE 601, SAN JOSE, CA 95124-4017
(408) 358-1024
(408) 358-1075
Mailing address
12305 OBRAD DR, SARATOGA, CA 95070-3519
(408) 257-2948
(408) 257-5231

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
G45167
CA

Other

Enumeration date
02/08/2007
Last updated
07/25/2011
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