Healthcare Provider Details

I. General information

NPI: 1508051731
Provider Name (Legal Business Name): F STEVEN LAND M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 11/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 WASHINGTON AVE
EVANSVILLE IN
47714-0541
US

IV. Provider business mailing address

PO BOX 39
WEST BADEN SPRINGS IN
47469-0039
US

V. Phone/Fax

Practice location:
  • Phone: 812-485-7349
  • Fax:
Mailing address:
  • Phone: 317-339-2378
  • Fax: 812-936-2838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME86227
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number01032900A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01032900A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: