Individual
ELLIOT BARTON LANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72780 COUNTRY CLUB DR STE C-301, RANCHO MIRAGE, CA 92270-4126
(760) 776-0040
(760) 776-0041
Mailing address
72780 COUNTRY CLUB DR STE C-301, RANCHO MIRAGE, CA 92270-4126
(760) 776-0040
(760) 776-0041
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G624900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G624900
—
CA
Enumeration date
07/13/2006
Last updated
10/02/2008
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