Individual
VALDON GALE LANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1175 58TH AVE, STE 202, GREELEY, CO 80634-4807
(970) 495-0300
(970) 224-9624
Mailing address
1175 58TH AVE, STE 202, GREELEY, CO 80634-4807
(970) 495-0300
(970) 224-9624
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
41081
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11826090
—
WY
05
—
61930784
—
CO
01
—
FR674273
BCBS
CO
01
—
P00255569
RAILROAD MEDICARE
—
Enumeration date
05/09/2006
Last updated
07/14/2008
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