Organization
LANDMARK MEDICAL LLC
Active
Parent organization
LANDMARK MEDICAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANDMARK MEDICAL LLC
Authorized official
JUSTIN D THOMPSON (MANAGER)
(435) 760-5896
Entity
Organization
Contact information
Practice address
3614 E SOUTHERN AVE STE 105, MESA, AZ 85206-2510
(480) 838-6696
Mailing address
2340 W PARKSIDE LN STE H107, PHOENIX, AZ 85027-1274
(602) 354-5310
(480) 887-8041
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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