Individual
LANDON DAVID HOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 820-5610
Mailing address
3050 E RIVER BLUFF BLVD, OZARK, MO 65721-8807
(417) 820-7969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2008015788
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2011003930
MO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
20110039930
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193974001
—
AR
05
—
1952563215
—
MO
01
—
431560263
TRICARE
MO
01
—
P01089893
RR MCR
MO
Enumeration date
06/27/2008
Last updated
07/16/2020
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