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Dr. Michael R. Condaras Dccc
Chiropractor in Charleston, West Virginia
NPI 1376816629

Dr. Michael R. Condaras Dccc is a Chiropractor based in Charleston, WV. Dr. Michael R. Condaras Dccc practices in Charleston, WV. The NPI Number for Dr. Michael R. Condaras Dccc is 1376816629 and holds a License No. 161 (West Virginia).

The current practice location address for Dr. Michael R. Condaras Dccc is 1202 Virginia St E, Charleston, WV and can be reached out via phone at 304-342-3323 and via fax at 304-342-3357.

Location: 1202 Virginia St E, Charleston, WV, 25301-2909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376816629
Provider Name
Dr. Michael R. Condaras Dccc
Credential
Provider Entity Type
Organization
Address
1202 Virginia St E, Charleston, WV, 25301-2909
Phone Number
304-342-3323
Fax Number
304-342-3357
Provider Enumeration Date
02/17/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0131291000 05 WV
CO 0383813 01 WV MEDICARE ID- TYPE UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
1202 Virginia St E
City
Charleston
State
West Virginia
Zip
25301-2909
Phone Number
304-342-3323
Fax Number
304-342-3357
person
Provider Business Mailing Address Details
Address
1202 Virginia St E
City
Charleston
State
West Virginia
Zip
25301-2909
Phone Number
304-342-3323
Fax Number
304-342-3357
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
161 (West Virginia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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