Individual
MR. STEVEN DOUGLAS LANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
2267 BANGS AVE, MODESTO, CA 95356-8701
(209) 545-9983
(209) 543-0923
Mailing address
2267 BANGS AVE, MODESTO, CA 95356-8701
(209) 545-9983
(209) 543-0923
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
RHT 42681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBB80277B
EDI #
CA
05
—
XR010013F
—
CA
Enumeration date
07/05/2006
Last updated
04/18/2008
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