IndividualActive
Conrad Addison, MD
NPI 1194228916 · Pediatric Pulmonology Physician · Salt Lake City, UT
Provider details
- NPI number
- 1194228916
- Entity type
- Individual
- Primary specialty
- Pediatric Pulmonology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MED-RES-LIC-67459 (MT)
Practice location
30 N 1900 E Rm 4c104
Salt Lake City, UT 84132-0002
Phone: (801) 408-1618
Mailing address
30 N 1900 E Rm 4c104
Salt Lake City, UT 84132-0002
Registry dates
- Enumerated
- 2018-03-18
- Last updated
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.