Local City Search for Surgeons and Surgical Clinics MARK E LANDRY D.P.M.
Podiatric Medicine - Foot and Ankle Surgery
Overland Park, Kansas
Provider NPI: 1255328654
Provider Information:MARK E LANDRY D.P.M.
Practice Location:
10550 QUIVIRA RD SUITE 260 OVERLAND PARK, KS 66215 US
Tel: 913-438-9898 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 213ES0103X | Podiatric Medicine & Surgery Service Providers Podiatrist Foot & Ankle Surgery | KS | 12-00167 |
| N | 213ES0103X | Podiatric Medicine & Surgery Service Providers Podiatrist | MO | 000415 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BC KS | 015070 | 01 | |
| BC | 06651156 | 01 | |
| RR MCR | 480018248 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
