Organization
RETINA SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CONDAX M.D. (PRESIDENT)
(304) 685-1207
Entity
Organization
Contact information
Practice address
527 MEDICAL PARK DR STE 205, BRIDGEPORT, WV 26330-9009
(304) 933-3860
(304) 933-3861
Mailing address
527 MEDICAL PARK DR STE 205, BRIDGEPORT, WV 26330-9009
(304) 685-1207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
10/22/2018
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