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Individual

DR. GEOFFREY S LANDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
6320 N LA CHOLLA BLVD, SUITE 200, TUCSON, AZ 85741-3548
(520) 382-8200
(520) 382-8136
Mailing address
PO BOX 31630, TUCSON, AZ 85751-1630
(520) 382-8200
(520) 382-8136

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4402
AZ
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
4402
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
083983
AZ
Enumeration date
06/10/2006
Last updated
02/10/2014
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