# LANDMARK MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LANDMARK MEDICAL LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528665817
- **Legal business name:** LANDMARK MEDICAL LLC
- **Authorized official:** DR. JUSTIN D THOMPSON (MANAGER)
- **Authorized official phone:** (435) 760-5896

## Contact information

- **Practice address:** 1055 W QUEEN CREEK RD STE 3, CHANDLER, AZ 85248-8134
- **Practice address phone:** (480) 485-9963
- **Mailing address:** 2340 W PARKSIDE LN, PHOENIX, AZ 85027-1273
- **Mailing address phone:** (602) 354-5310
- **Mailing address fax:** (480) 887-8041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/08/2020
- **Last updated:** 10/08/2020