Individual
MR. DAVID JON LANDY
Active
Individual
MR. DAVID JON LANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
00023233
AL
207RG0100X
Gastroenterology Physician
Primary
23233
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000093462
—
AL
01
—
23233
MEDICAL STATE LICENSE
—
01
—
2911000
UNITED HEALTHCARE PROVIDE
AL
01
—
51093462
BLUE CROSS PROVIDER NUMBE
AL
05
—
538800240
—
AL
01
—
G01858
HEALTHSPRINGS PROVIDER NU
AL
Enumeration date
05/23/2006
Last updated
10/05/2010
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