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Individual

DR. JONATHAN C LANDSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
19636 N 27TH AVE STE 401, PHOENIX, AZ 85027-4021
(602) 298-8888
(602) 978-4129
Mailing address
19636 N 27TH AVE STE 401, PHOENIX, AZ 85027-4021
(602) 298-8888
(602) 978-4129

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
26815
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3Z3937
HEALTHNET
AZ
05
461848
AZ
Enumeration date
02/17/2006
Last updated
03/17/2018
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