Organization
LES M LANDAU DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE M LANDAU DO (PRESIDENT)
(660) 627-5000
Entity
Organization
Contact information
Practice address
118 W MISSOURI ST, KIRKSVILLE, MO 63501-2868
(620) 627-5000
Mailing address
PO BOX 470, KIRKSVILLE, MO 63501-0470
(660) 627-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R1568
MO
Other
Enumeration date
11/11/2010
Last updated
12/15/2010
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