Individual
DR. WILLIAM CHRISTOPHER LANDREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9474 BASELINE RD, ALTA LOMA, CA 91701-5822
(909) 987-3211
(909) 987-0317
Mailing address
9474 BASELINE RD, ALTA LOMA, CA 91701-5822
(909) 987-3211
(909) 987-0317
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E14570
—
CA
05
—
000E14571
—
CA
01
—
2500280001
DME
CA
01
—
T10967
UPIN
CA
Enumeration date
08/01/2006
Last updated
11/06/2007
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