Individual
PHILIP H LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 PRINGLE WAY STE 601, RENO, NV 89502-1472
(775) 982-5000
(775) 982-3900
Mailing address
850 HARVARD WAY, RENO, NV 89502-2055
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3577
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11040930
CAQH
—
05
—
1629162649
—
NV
01
—
P00253308
RAILROAD MEDICARE
NV
Enumeration date
10/03/2006
Last updated
05/15/2020
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