Individual
GREGORY JAMES LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W IRONWOOD DR STE 350, COEUR D ALENE, ID 83814-4487
(208) 625-5222
(208) 625-5223
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5222
(208) 625-5223
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
M-16279
ID
2086S0129X
Vascular Surgery Physician
MD17953
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134280
—
OR
Enumeration date
07/31/2006
Last updated
04/26/2024
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