Individual
DR. ALAN SKIDMORE CONDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1375 KRISTIE LN, SALT LAKE CITY, UT 84108-2229
(801) 583-8501
Mailing address
1375 KRISTIE LN, SALT LAKE CITY, UT 84108-2229
(801) 583-8501
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
167821-1205
UT
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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