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NPI Code Detail

MEDICARE: THOMAS M LANDINO DPM, FACFAS, PT

MEDICARE: THOMAS M LANDINO DPM, FACFAS, PT
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
1213ES0103XFoot & Ankle Surgery Podiatrist07001045AIN
2213E00000XPodiatristPO60099671WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003805482
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS M LANDINO DPM, FACFAS, PT
Provider Business Mailing Address
First Line : 1100 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98101-2756
Country : US
Telephone Number : 206-515-5811
Fax Number : 206-515-5886
Provider Business Practice Location Address
First Line : 33501 1ST WAY S
Second Line :
City : FEDERAL WAY
State : WA
Zip : 98003-6208
Country : US
Telephone Number : 253-838-2400
Fax Number : 253-874-1634
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 05/12/2011

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