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Organization

LANDMARK MEDICAL LLC

Active
Parent organization
LANDMARK MEDICAL LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
LANDMARK MEDICAL LLC
Authorized official
DR. JUSTIN D THOMPSON (MANAGER)
(435) 760-5896
Entity
Organization

Contact information

Practice address
3001 E CAMELBACK RD STE 155, PHOENIX, AZ 85016-0001
(602) 234-2611
Mailing address
2340 W PARKSIDE LN STE H107, PHOENIX, AZ 85027-1274
(602) 354-5310
(480) 887-8041

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8503
AZ
208100000X
Physical Medicine & Rehabilitation Physician
Primary
46628
AZ
208VP0000X
Pain Medicine Physician
46628
AZ
225100000X
Physical Therapist
12547
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
363A00000X
Physician Assistant
5090
AZ
363L00000X
Nurse Practitioner
AP5002

Other

Enumeration date
01/22/2018
Last updated
10/08/2020
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