Individual
DR. RONALD C LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 GENERAL BOOTH BLVD, VIRGINIA BEACH, VA 23454-5691
(757) 721-0512
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101055783
VA
207P00000X
Emergency Medicine Physician
9601373
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1149P
BCBS NC
NC
01
—
930064130
RAILROAD MEDICARE
NC
Enumeration date
08/22/2005
Last updated
02/17/2022
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