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Mr. Clint L Vanlandingham, DPM
Foot & Ankle Surgery Podiatrist in Poplar Bluff, Missouri
NPI 1508838566

Clint L Vanlandingham is a Foot & Ankle Surgery Podiatrist based in Poplar Bluff, MO and is specialized in Foot & Ankle Surgery. Clint L Vanlandingham practices in Poplar Bluff, MO and has the professional credentials of DPM. The NPI Number for Clint L Vanlandingham is 1508838566 and holds a License No. 2014037662 (Missouri).

The current practice location address for Clint L Vanlandingham is 2600 Kanell Blvd, Poplar Bluff, MO and can be reached out via phone at 573-785-4546 and via fax at 573-785-6959.

Location: 2600 Kanell Blvd, Poplar Bluff, MO, 63901-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508838566
Provider Name
Clint L Vanlandingham
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
2600 Kanell Blvd, Poplar Bluff, MO, 63901-3001
Phone Number
573-785-4546
Fax Number
573-785-6959
Provider Enumeration Date
02/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
309166510 05 MO
institution
Provider Business Practice Location Address Details
Address
2600 Kanell Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-3001
Phone Number
573-785-4546
Fax Number
573-785-6959
person
Provider Business Mailing Address Details
Address
2600 Kanell Blvd
City
Poplar Bluff
State
Missouri
Zip
63901-3001
Phone Number
573-785-4546
Fax Number
573-785-6959
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
2004001321 (Missouri)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
2004001321 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
2014037662 (Missouri)
Definition
Definition to come...
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