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Individual

DR. LANDON JOSEPH MASSOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
(918) 494-8915
Mailing address
5020 E 68TH ST, TULSA, OK 74136-3307
(918) 492-3636
(918) 494-8915

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
30729
OK
207Y00000X
Otolaryngology Physician
MD60927106
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1497169734
WA
Enumeration date
06/15/2014
Last updated
07/09/2020
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