Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO60099671 | WA |
Y | 222Z00000X | Podiatrist | PO60099671 | WA |
N | 213ES0103X | Foot & Ankle Surgery | 07001045A | IN |
NPI | 1003805482 |
---|---|
Provider Name | Thomas M Landino |
First Address | Seattle, WA 98101-2756 |
Second Address | Federal Way, WA 98003-6208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 12/05/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200866830 | (05) | IN |
U91954 | (02) | IN |