Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CONRAD B. ADDISON, MD
ActiveCONRAD B. ADDISON, MD is a Pediatric Pulmonology healthcare provider located in SALT LAKE CITY, Utah. NPI 1194228916 is currently active in the NPPES registry. Verify at CMS.
Pediatric Pulmonology · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1194228916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 18, 2018 (8.3636290959701 yrs)
- Last Updated
- Mar 4, 2025
- Licenses
-
MED-RES-LIC-67459 (MT)12229852-1205 (UT)12229852-1205 (UT)
Practice Information
- Address
-
30 N 1900 E RM 4C104SALT LAKE CITY, UT, 841320002Browse UT providers · Browse ZIP 84132
- Phone
- 8014081618
- Primary Specialty
-
Pediatric Pulmonology
2080P0214X
- Additional Specialty
- Sports Medicine (IM)
- Additional Specialty
- Pediatric Pulmonology
Other Pediatric Pulmonology Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DEREK AKIO UCHIDA | — | 1396824967 |
| DR. FADI ASFOUR | M.D. | 1902053861 |
| KHANH VAN LAI | M.D. | 1447559778 |
| KATHARINE TSUKAHARA | — | 1932562071 |
| KRISTEN KEENE | MD | 1891372660 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.