Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 0116035081 | VA |
NPI | 1003481581 |
---|---|
Provider Name | Dr. Sarah Elizabeth Condon |
First Address | Alexandria, VA 22314-3920 |
Second Address | Fort Belvoir, VA 22060-5285 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2021 |
Last Update Date | 26/05/2021 |