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Individual

JAMES RODNEY LANDRENEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3215 WINGATE CT STE 102, COLUMBIA, MO 65201-7689
(573) 884-3937
(573) 884-4868
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2022019738
MO
207W00000X
Ophthalmology Physician
85613
SC
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
2022019738
MO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200064204
MO
Enumeration date
03/23/2017
Last updated
07/06/2022
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