| Karl H. Landberg, M.d., P.a. | |
|
1375 Highway 64 W Conway AR 72032-2778 | |
| (501) 336-9620 | |
| (501) 336-0018 |
| Full Name | Karl H. Landberg, M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1375 Highway 64 W, Conway, Arkansas |
| Authorized Official Name and Position | Karl H Landberg (OWNER) |
| Authorized Official Contact | 5013369620 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karl H. Landberg, M.d., P.a. 1375 Highway 64 W Conway AR 72032-2778 Ph: (501) 336-9620 | Karl H. Landberg, M.d., P.a. 1375 Highway 64 W Conway AR 72032-2778 Ph: (501) 336-9620 |
| NPI Number | 1114254588 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Medicare PECOS PAC ID | 2961542345 |
|---|---|
| Medicare Enrollment ID | O20091215000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114254588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Karl H Landberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265493241 PECOS PAC ID: 3274673652 Enrollment ID: I20091215000565 |
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