DEREK TODD LANDIS

ARDMORE, OK
NPI1487854642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OK  25666)
Enumeration Date2007-07-24
Last Update Date2014-05-20
Business Address
-- DEREK TODD LANDIS MD
921 14TH AVE NW
ARDMORE, OK 73401-1837
Phone number: 580-223-5311
Mailing Address
-- DEREK TODD LANDIS MD
4401 W MEMORIAL RD SUITE 140
OKLAHOMA CITY, OK 73134-1785
Phone number: 405-752-3162