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Plastic, Cosmetic, Oral, Podiatric Surgery

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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
Foot & Ankle Surgery
KS12-00167
N213ES0103XPodiatric Medicine & Surgery Service Providers
Podiatrist
MO000415

Other Provider Identifiers:

IssuerNumberStateType
BC KS01507001
BC0665115601
RR MCR48001824801
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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