Individual provider · Type 1 NPI

David M. Landis, PA-C

Medical Physician Assistant · Boise, ID

NPI number 1104044247 Active

Practice location

703 S Americana Blvd, Ste 130
Boise, ID 83702-5099

Mailing address

190 E Bannock St
Boise, ID 83712-6241

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA165 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1104044247

David M. Landis, PA-C's National Provider Identifier is 1104044247, issued on Apr 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boise, ID. The record was last updated on Jan 15, 2014.