Tish R Landrum MD

NPI 1982706727 - Family Medicine - 207Q00000X

NPI Details
NPI 1982706727
Gender Female
Enumeration Date 09/02/2006
Last Updated 11/13/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
8550 W 38TH AVE
SUITE 206
WHEAT RIDGE CO, 80033-4300, US
Phone (303) 953-7700
Fax (303) 456-6734
Business Location
8550 W 38TH AVE
SUITE 206
WHEAT RIDGE CO, 80033-4300, US
Phone (303) 953-7700
Fax (303) 456-6734
Toxanomy
Taxonomy Code 207Q00000X
License State Colorado
License Number 33760
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According to our database, Tish R Landrum MD NPI is 1982706727, taxonomy code is 207Q00000X and license number is 33760, license state is located at Colorado. Tish R Landrum MD physically located at 8550 W 38th Ave, Wheat Ridge CO, 80033-4300. NPI Number Tish R Landrum MD has the Individual type.

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1982706727 NPI number is provided on an as is basis without warranty of any kind. 1982706727 is maintained by the National Plan & Provider Enumeration System. The contents of Tish R Landrum MD are for informational purposes only.