Organization
LANDGRAF D O, ROBERT L
Active
Other names
Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LAWRENCE LANDGRAF D.O. (PHYSICIAN/OWNER)
(707) 423-4355
Entity
Organization
Contact information
Practice address
2560 N TEXAS ST, SUITE C, FAIRFIELD, CA 94533-1649
(707) 423-4355
(707) 423-4353
Mailing address
2560 N TEXAS ST, SUITE C, FAIRFIELD, CA 94533-1649
(707) 423-4355
(707) 423-4353
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
20A7022
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOAX70220
—
CA
Enumeration date
04/12/2013
Last updated
04/12/2013
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