David M Landis is a Medical in Boise, Idaho. David M Landis practices all healthcare services and medical treatments related to Medical. The NPI Number for David M Landis is 1104044247. The last update date is 2014-01-15.
David M Landis's current location address is 703 S Americana Blvd, Boise, Idaho. You can contact this provider via phone number 2087067500. The mailing address for David M Landis is 703 S Americana Blvd, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David M Landis |
|---|---|
| Address | 703 S Americana Blvd, Boise, Idaho |
| Phone Number | 2087067500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1104044247 |
|---|---|
| Provider Enumeration Date | 2007-04-23 |
| Last Updated Date | 2014-01-15 |
Provider Mailing Address Detail
| Address | 703 S Americana Blvd |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837025099 |
| Phone Number | 2087067500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA165 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| RPA-165 | ID | LICENSE NO |
Post Comment/ Review Below
What is the unique identifier code issued to David M Landis by the Centers for Medicare & Medicaid Services (CMS)?
The David M Landis has been assigned the NPI (National Provider Identifier) 1104044247. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where David M Landis is physically located?
The David M Landis is physically situated at the following address: 703 S Americana Blvd, Boise, ID, 837025099.
What is the area of specialization for David M Landis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David M Landis is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
On what date did David M Landis receive its 1104044247 assignment from the Centers for Medicare & Medicaid Services?
The David M Landis was assigned its 1104044247 on 2007-04-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to David M Landis most recently updated or revised?
The details related to David M Landis, including its address, specialty, and other relevant information, were last updated or revised on 2014-01-15.
NPI Number: 1558367185
Address: 245 W Race St, Somerset, PA
NPI Number: 1588663769
Address: 400 W Mineral King Ave, Visalia, CA