Conrad B. Addison, MD
Pediatrics, Pediatric Pulmonology in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1194228916
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1194228916
- Entity type
- Individual (NPI-1)
- Name
- Conrad B. Addison
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2018
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0214X | Pediatrics, Pediatric Pulmonology | 12229852-1205 | UT | Yes |
| 207RS0012X | Internal Medicine, Sleep Medicine | 12229852-1205 | UT | |
| 207R00000X | Internal Medicine | MED-RES-LIC-67459 | MT | |
| 207RS0012X | Internal Medicine, Sleep Medicine | 109458 | MT |
Practice location
30 N 1900 E Rm 4c104Salt Lake City, UT 84132-0002
Phone 801-408-1618
Mailing address
30 N 1900 E Rm 4c104Salt Lake City, UT 84132-0002
Phone 801-408-1618
Other practice locations
350 Heritage Way Ste 2300
Kalispell, MT 59901-3167
Kalispell, MT 59901-3167
Phone 406-751-5455 · Fax 406-257-8996
2800 10th Ave N
Billings, MT 59101
Billings, MT 59101
Phone 406-238-2500
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