Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 7215 | SD |
NPI | 1043423536 |
---|---|
Provider Name | Steven Lloyd Condron |
First Address | Sioux Falls, SD 57105-3762 |
Second Address | Sioux Falls, SD 57108-6021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 31/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
256147 | MIDLAND'S CHOICE (01) | |
6005830 | (05) | SD |