Organization
LAND EYE CENTER, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY A LAND M.D. (OWNER)
(563) 242-3937
Entity
Organization
Contact information
Practice address
2315 16TH ST NW, CLINTON, IA 52732-3305
(563) 242-3937
(563) 242-3845
Mailing address
PO BOX 608, CLINTON, IA 52733-0608
(563) 242-3937
(563) 242-3845
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
22022
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2173906
—
IA
Enumeration date
04/11/2007
Last updated
05/19/2008
Update your record
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