Individual
MR. SCOTT EUGENE LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3525 S BASCOM AVE #L6, CAMPBELL, CA 95008
(408) 802-0157
Mailing address
3525 S BASCOM AVE #L6, CAMPBELL, CA 95008
(408) 802-0157
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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