| NPI | 1023889250 |
|---|---|
| Doing Business As | WILLIAM A. CONDRELL MD, PRIVIA MEDICAL GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | MARIA GABBAI Director 571-982-6636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |