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Organization
LANDMARK MEDICAL LLC
Active
Organization
LANDMARK MEDICAL LLC
Active
Parent organization
LANDMARK MEDICAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDMARK MEDICAL LLC
Authorized official
JUSTIN D THOMPSON (MANAGER)
(435) 760-5896
Entity
Organization
Contact information
Practice address
3614 E SOUTHERN AVE STE 105, MESA, AZ 85206-2510
(480) 838-6696
Mailing address
2340 W PARKSIDE LN STE H107, PHOENIX, AZ 85027-1274
(602) 354-5310
(480) 887-8041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
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
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