MARK LANDT

EDWARDS, CO
NPI1477558856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: OH  34-00-3644)
Enumeration Date2005-06-14
Last Update Date2015-03-20
Business Address
-- MARK LANDT D.O.
37 ELK PLACE
EDWARDS, CO 81632-0722
Phone number: 970-926-5702
Mailing Address
-- MARK LANDT D.O.
PO BOX 722
EDWARDS, CO 81632-0722
Phone number: 970-926-5702