Individual
DR. MICHAEL R. CONDARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1202 VIRGINIA ST E, CHARLESTON, WV 25301-2909
(304) 342-3323
Mailing address
1202 VIRGINIA ST. E., CHARLESTON, WV 25301-2909
(304) 342-3323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
161
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131291000
—
WV
Enumeration date
04/18/2006
Last updated
02/17/2012
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