Provider Demographics
NPI:1669563748
Name:CONDRY, PILAR J (MD)
Entity type:Individual
Prefix:DR
First Name:PILAR
Middle Name:J
Last Name:CONDRY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14114 BUSINESS CENTER DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-9113
Mailing Address - Country:US
Mailing Address - Phone:951-697-5777
Mailing Address - Fax:951-697-5780
Practice Address - Street 1:14114 BUSINESS CENTER DR
Practice Address - Street 2:SUITE B
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-9113
Practice Address - Country:US
Practice Address - Phone:951-697-5777
Practice Address - Fax:951-697-5780
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA0442312080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine