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Contact Information

DAVID R CONDIE, MD
98 POPLAR ST
BLACKFOOT, ID83221-1758
 Phone: 208-785-4100
 Fax: 210-292-3760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DAVID R CONDIE · (Male)

NPI Number 1356329783
Status Active
Credentials MD
Entity Individual
Enumeration date 01/05/2006
Last updated 05/08/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-12609
  • IL License # 036.127977
  • OH License # 35-067004
Hospital affiliation(s)
  • SAN JOAQUIN COMMUNITY HOSPITAL - (Acute Care)
    2615 CHESTER AVENUE
    BAKERSFIELD, CA 93301
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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