Organization
CLINT VANLANDINGHAM
Active
Other names
Coppertop Foot and Ankle Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT VANLANDINGHAM DPM (OWNER)
(573) 785-4546
Entity
Organization
Contact information
Practice address
2600 KANELL BLVD, POPLAR BLUFF, MO 63901-3001
(573) 785-4546
Mailing address
2600 KANELL BLVD, POPLAR BLUFF, MO 63901-3001
(573) 785-4546
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2004001321
MO
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
04/07/2006
Last updated
05/15/2020
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