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NPI Code Detail

MEDICARE: THOMAS R LAND MD PC

MEDICARE: THOMAS R LAND MD PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician11546NV

General Provider Information

NPI Number : 1982840955
Entity Type Code : Organization
Provider Name (Legal Business Name) : THOMAS R LAND MD PC
Provider Business Mailing Address
First Line : 3022 S DURANGO DR
Second Line : SUITE 100
City : LAS VEGAS
State : NV
Zip : 89117-4440
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5945 S RAINBOW BLVD
Second Line : #140
City : LAS VEGAS
State : NV
Zip : 89118-2559
Country : US
Telephone Number : 702-256-3637
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS R LAND
Credential : MD
Telephone Number : 702-343-4330
Provider Enumeration Date : 12/22/2008
Last Update Date : 04/30/2009

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Directions to “THOMAS R LAND MD PC ” Practice Location

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