MEDICARE: LANDRUS L PFEFFINGER MD

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
1	207X00000X	Orthopaedic Surgery Physician	G32258	CA

General Provider Information

NPI Number	:	1033145602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LANDRUS L PFEFFINGER MD

Provider Business Mailing Address
First Line	:	PO BOX 1964
Second Line	:
City	:	SONOMA
State	:	CA
Zip	:	95476-1964
Country	:	US
Telephone Number	:	925-284-0433
Fax Number	:	925-284-1505

Provider Business Practice Location Address
First Line	:	911 MORAGA RD
Second Line	:	STE 102
City	:	LAFAYETTE
State	:	CA
Zip	:	94549-4579
Country	:	US
Telephone Number	:	925-284-0433
Fax Number	:	925-284-1505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	12/15/2014

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