Individual provider · Type 1 NPI

Landon Deru, ATC-L

Student in an Organized Health Care Education/Training Program · Ogden, UT

NPI number 1346511532 Active

Practice location

3730 Brinker Ave
Ogden, UT 84403-2019

Call (801) 928-3213 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346511532

Landon Deru, ATC-L's National Provider Identifier is 1346511532, issued on Jan 19, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ogden, UT. The record was last updated on Jan 19, 2012.