Doctor Name: | THOMAS M LANDINO |
NPI Number: | 1003805482 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM, FACFAS, PT |
License Number: | 07001045A |
Business Practice Address: | 33501 1st Way S Federal Way, WA - 980036208 |
Business Phone Number: | 2538382400 |
Business Fax Number: | 2538741634 |
Mailing Address: | 1100 9th Ave, SEATTLE |
State: | WA |
Postal Code: | 981012756 |
Phone Number: | 2065155811 |
Fax Number: | 2065155886 |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 05/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 07001045A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |