Male or Other

Michael D. Landers DO

Sports Medicine (Family Medicine) Physician in Tulsa, OK(View on Map)

Full Name

Michael D Landers DO

NPI Number

1033223730

NPI Type

Individual Provider

Gender

Male

Enumeration Date

08/18/2006

Specialties

(Taxonomies)

Licenses

State

Mississippi
Oklahoma
Texas

License Number

19051
3862
N3810

Contact
Information

Purpose

Mailing
Location

Address

6600 S YALE AVE STE 1400
10507 E 91ST ST STE 450

City

Tulsa
Tulsa

State

OK
OK

Postal Code

74136-3331
74133-5515

Country

US
US

Telephone Number

N/A
(918) 307-3170

Identifiers

Identifier

1418153
06008071
3442570
P00308321
8CG326

Identifier State

LA
MS
MS
Unknown
TX

Identifier Issuer

Unknown
Unknown
AMERICAN ADMIN GROUP
RAILROAD MEDICARE
BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/29/2021

Provider Address

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