Individual provider · Type 1 NPI

Rodrigo Landeros, PA-C

Surgical Physician Assistant · Edmonds, WA

NPI number 1902253172 Active

Practice location

7315 212th St SW, Suite 201
Edmonds, WA 98026-7610

Mailing address

17 Old Post Rd
Montgomery, IL 60538-2609

Other practice locations

  • 11511 NE 10th St, Bellevue, WA 98004-8578 · (425) 502-3000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA60655595 (WA)
Physician Assistant 363A00000XPA60655595 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1902253172

Rodrigo Landeros, PA-C's National Provider Identifier is 1902253172, issued on May 18, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edmonds, WA. The record was last updated on Aug 25, 2021.