# MARLA R. LANDER MD PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Breast Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134362551
- **Authorized official:** EILEEN KANEWSKE (DIR. PT ACCT.)
- **Authorized official phone:** (512) 370-8114

## Contact information

- **Practice address:** 1313 E OSBORN RD, STE. 213, PHOENIX, AZ 85014-5678
- **Practice address phone:** (602) 234-2601
- **Mailing address:** PO BOX 1017, GREENVILLE, TX 75403-1017
- **Mailing address phone:** (800) 945-2455
- **Mailing address fax:** (770) 237-1831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2009
- **Last updated:** 04/15/2009