Individual
MR. DANIEL ROBERT LANDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2110 W WALNUT ST, ROGERS, AR 72756-3246
(479) 621-8391
(479) 621-0962
Mailing address
2110 W WALNUT ST, STE 4, ROGERS, AR 72756-3297
(479) 621-8391
(479) 621-8391
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2595
AR
Other
Enumeration date
07/27/2007
Last updated
01/20/2017
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