Condon, Eva J

Condon, Eva J is an individual health care provider with primary practice located at 300 W Clarendon Ave 375, Phoenix AZ 85013-3420. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Condon, Eva J can be contacted via phone (602) 277-4161.

Contact Information

Primary practice address
300 W Clarendon Ave 375 Phoenix AZ 85013-3420
Phone: (602) 277-4161
Fax: (602) 274-3394
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25289 Arizona
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 25289 Arizona

Profile Details

NPI number 1194751420
LBN Legal business name Condon, Eva J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Oct 8th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194751420 NPPES
Arizona MEDICAID 384420

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