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Individual

DR. JOSHUA EBENEZER LANDAVASO I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2800 11TH AVE S STE 24, GREAT FALLS, MT 59405-5263
(406) 771-6300
(406) 731-8318
Mailing address
PO BOX 6010, GREAT FALLS, MT 59406-6010
(406) 455-5000

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
173499
MT
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/23/2023
Last updated
06/02/2026
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