NPI 1184184483

Charles Edward Landis, DO

Practitioner Pediatrics Physician Washington, MO

Practice location

Address: 851 E 5th St, Washington, MO 63090-3135
Phone: (636) 390-8555
Fax: (636) 390-9444
Mailing address: 851 E 5th St STE 300, Washington, MO 63090-3130

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 2022013547 (MO)

Other Pediatrics providers in Missouri →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Missouri →

Registry record

NPI: 1184184483
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2019
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.