Provider Demographics
NPI:1780104901
Name:CONDER, BRYAN MARK (DO)
Entity type:Individual
Prefix:DR
First Name:BRYAN
Middle Name:MARK
Last Name:CONDER
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Gender:M
Credentials:DO
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Mailing Address - Street 1:142 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2922
Mailing Address - Country:US
Mailing Address - Phone:434-799-2248
Mailing Address - Fax:434-799-2116
Practice Address - Street 1:109 BRIDGE ST STE 201
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1222
Practice Address - Country:US
Practice Address - Phone:434-799-4488
Practice Address - Fax:434-773-6977
Is Sole Proprietor?:No
Enumeration Date:2017-06-20
Last Update Date:2022-11-16
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Provider Licenses
StateLicense IDTaxonomies
VA0116030468207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine