Organization
LANDRENEAU THORACIC SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY LANDRENEAU M.D. (M.D.)
(724) 548-3813
Entity
Organization
Contact information
Practice address
600 MEDICAL ARTS BLDG, SUITE 660, KITTANNING, PA 16201-7134
(724) 548-3813
(724) 548-3814
Mailing address
600 MEDICAL ARTS BLDG, SUITE 660, KITTANNING, PA 16201-7134
(724) 548-3813
(724) 548-3814
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD42702L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001219160
—
PA
Enumeration date
12/11/2015
Last updated
12/11/2015
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