Individual
DR. BRIAN THOMAS LANDRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.S.
Contact information
Practice address
315 N BREIEL BLVD, MIDDLETOWN, OH 45042-3868
(513) 424-0339
(513) 424-4910
Mailing address
316 W NORTH ST, PIQUA, OH 45356-2224
(937) 916-3028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5876
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3050880
—
OH
Enumeration date
06/25/2009
Last updated
02/14/2012
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