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Organization
CLINT VANLANDINGHAM
Active
Organization
CLINT VANLANDINGHAM
Active
Other names
Coppertop Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT VANLANDINGHAM DPM (OWNER)
(573) 785-4546
Entity
Organization
Contact information
Practice address
2600 KANELL BLVD, POPLAR BLUFF, MO 63901-3001
(573) 785-4546
Mailing address
2600 KANELL BLVD, POPLAR BLUFF, MO 63901-3001
(573) 785-4546
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2004001321
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/07/2006
Last updated
05/15/2020
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