A E Landis M D P C

NPI 1043284110 - Specialist - 174400000X

NPI Details
NPI 1043284110
Gender Male
Enumeration Date 02/15/2006
Last Updated 03/01/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
417 CARRIAGE DR
BECKLEY WV, 25801-2805, US
Phone (304) 255-0459
Fax (304) 252-3471
Business Location
417 CARRIAGE DR
BECKLEY WV, 25801-2805, US
Phone (304) 255-0459
Fax (304) 252-3471
Toxanomy
Taxonomy Code 174400000X
License State West Virginia
License Number 11229
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According to our database, A E Landis M D P C NPI is 1043284110, taxonomy code is 174400000X and license number is 11229, license state is located at West Virginia. A E Landis M D P C physically located at 417 Carriage Dr, Beckley WV, 25801-2805. NPI Number A E Landis M D P C has the Individual type.

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1043284110 NPI number is provided on an as is basis without warranty of any kind. 1043284110 is maintained by the National Plan & Provider Enumeration System. The contents of A E Landis M D P C are for informational purposes only.