NPI 1487854642

Derek Todd Landis, MD

Practitioner Pediatrics Physician Ardmore, OK

Practice location

Address: 921 14th Ave NW, Ardmore, OK 73401-1837
Phone: (580) 223-5311
Fax: (580) 223-8227
Mailing address: 4401 W Memorial Rd Suite 140, Oklahoma City, OK 73134-1785

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 25666 (OK)

Other Pediatrics providers in Oklahoma →

Registry record

NPI: 1487854642
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2007
Record last updated: 20 May 2014

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.