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Individual

DR. JOHN W LANDRIGAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5180 PARK AVE, SUITE 200, MEMPHIS, TN 38119-3521
(901) 761-2703
(901) 680-9705
Mailing address
5180 PARK AVE, SUITE 200, MEMPHIS, TN 38119-3521
(901) 761-2703
(901) 680-9705

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
008125
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2004169
BCBS
TN
Enumeration date
10/25/2006
Last updated
07/09/2007
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