Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIM T LAND, CSA
ActiveMR. JIM T LAND, CSA is a 246ZX2200X healthcare provider located in WASILLA, Alaska. NPI 1902232366 is currently active in the NPPES registry. Verify at CMS.
246ZX2200X · WASILLA, AK
Registration Details
- NPI Number
- 1902232366
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2013 (12.871206993979 yrs)
- Last Updated
- Jan 12, 2016
- License
-
3336 (AK)
Practice Information
- Address
-
1700 E BOGARD RD STE 120WASILLA, AK, 996546563Browse AK providers · Browse ZIP 99654
- Phone
- 9073572267
- Fax
- 9075633460
- Primary Specialty
-
246ZX2200X
246ZX2200X
- Additional Specialty
- 246ZX2200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.