Individual
LANDON WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12525 PERKINS RD STE B, BATON ROUGE, LA 70810-1907
(225) 819-8857
(225) 767-6822
Mailing address
809 SUMMER BREEZE DR APT 1401, BATON ROUGE, LA 70810-6381
(225) 266-7845
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
305853
LA
Other
Enumeration date
06/28/2017
Last updated
06/28/2017
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