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Contact Information

JOHN S CONDOJANI, DO
200 W. HOSPITAL DR
WHITERIVER, AZ85941
 Phone: 928-338-4911
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN S CONDOJANI · (Male)

NPI # 1497761555
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/31/2006
Last updated 01/22/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 0-317
  • AZ Medicaid 1295993376
  • AZ Medicaid 1629236716
  • AZ Medicaid 1780614008
  • AZ Medicaid 1871523191
  • AZ Medicaid 958655
Hospital affiliation(s)
  • LITTLE COLORADO MEDICAL CENTER - (Critical Access)
    1501 NORTH WILLIAMSON AVENUE
    WINSLOW, AZ 86047
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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