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Mr. Steven Douglas Landes, RT
Radiologic Technologist in Modesto, California
NPI 1316978679

Steven Douglas Landes is a Radiologic Technologist based in Modesto, CA. Steven Douglas Landes practices in Modesto, CA and has the professional credentials of RT. The NPI Number for Steven Douglas Landes is 1316978679 and holds a License No. RHT 42681 (California).

The current practice location address for Steven Douglas Landes is 2267 Bangs Ave, Modesto, CA and can be reached out via phone at 209-545-9983 and via fax at 209-543-0923. You can also correspond with Steven Douglas Landes through the mailing address at 2267 BANGS AVE, MODESTO, CA - 95356-8701 (mailing address contact number: 209-545-9983).

Location: 2267 Bangs Ave, Modesto, CA, 95356-8701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316978679
Provider Name
Steven Douglas Landes
Credential
RT
Provider Entity Type
Individual
Gender
Male
Address
2267 Bangs Ave, Modesto, CA, 95356-8701
Phone Number
209-545-9983
Fax Number
209-543-0923
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BBB80277B 01 CA EDI #
XR010013F 05 CA
institution
Provider Business Practice Location Address Details
Address
2267 Bangs Ave
City
Modesto
State
California
Zip
95356-8701
Phone Number
209-545-9983
Fax Number
209-543-0923
person
Provider Business Mailing Address Details
Address
2267 Bangs Ave
City
Modesto
State
California
Zip
95356-8701
Phone Number
209-545-9983
Fax Number
209-543-0923
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
RHT 42681 (California)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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