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NPI Verification

National Provider Identifier: 1194228916

Conrad B. Addison, MD

Individual Provider

Credentials

Primary Specialty

Pediatrics, Pediatric Pulmonology

Code: 2080P0214X

All Specialties (3)

Internal Medicine

Code: 207R00000X

Internal Medicine, Sleep Medicine

Code: 207RS0012X

Pediatrics, Pediatric Pulmonology

Code: 2080P0214X

Primary

Practice Address

30 N 1900 E RM 4C104

SALT LAKE CITY, UT 841320002

Phone: 801-408-1618

NPI Enumeration Date

March 18, 2018

NPI Number

1194228916

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry