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Individual

DR. RONALD MARK LANDESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5700 OLD RICHMOND AVE, E24, RICHMOND, VA 23226
(804) 282-6576
(804) 282-5223
Mailing address
5700 OLD RICHMOND AVE, E24, RICHMOND, VA 23226
(804) 282-6576
(804) 282-5223

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
082667
ANTHEM BC BS
VA
01
225118
MAMSI
VA
01
320871
ANTHEM BC BS
VA
05
9301771
VA
Enumeration date
03/07/2006
Last updated
01/15/2008
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