IndividualActive
Douglas Kondo, M.D.
NPI 1083703284 · Child & Adolescent Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1083703284
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 6313601-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone: (801) 585-1575
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 413076
Salt Lake City, UT 84141-3076
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2023-03-07
- Certified
- 2021-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.