# TROY A LANDES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447227293
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | MA050718 | PA | Yes |

## Other

- **Enumeration date:** 03/01/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1007307260034 | MEDICARE GROUP \# | PA |
| 01 | — | 120420414 | DEPT OF LABOR | PA |
| 01 | — | 25-1716306 | INTERGROUP | PA |
| 01 | — | 498815 | HEALTH AMERICA | PA |
| 01 | — | 50064072 | CAPITAL BLUECROSS | PA |
| 01 | — | MA050718 | LICENSE | PA |