Individual
ADAM LANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
495 YELLOWSTONE AVE, POCATELLO, ID 83201-4531
(208) 478-7422
Mailing address
417 KURTWOOD DR, POCATELLO, ID 83204-3556
(208) 317-5576
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06231595
ID
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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