IndividualActive
Clint Vanlandingham, DPM
NPI 1508838566 · Podiatrist · Poplar Bluff, MO
Provider details
- NPI number
- 1508838566
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2014037662 (MO)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Podiatric Medicine & Surgery Service Providers
Practice location
2600 Kanell Blvd
Poplar Bluff, MO 63901-3001
Phone: (573) 785-4546
Fax: (573) 785-6959
Approximate (ZIP-level) locationGet directions
Mailing address
2600 Kanell Blvd
Poplar Bluff, MO 63901-3001
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2020-01-27
- Certified
- 2020-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.