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Individual
DR. LANDON WAYNE COLEMAN
Active
Individual
DR. LANDON WAYNE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
364205-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36420512000001
REGENCE BCBS
UT
05
—
870326048001D5088
—
UT
Enumeration date
03/17/2006
Last updated
03/03/2008
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