Clint Vanlandingham
Podiatrist
2600 Kanell Blvd, Poplar Bluff
Missouri, 63901-3001
573-785-4546 Clint Vanlandingham is a Podiatrist in Poplar Bluff, Missouri. It is located at 2600 Kanell Blvd, Poplar Bluff and it's customer support contact number is 573-785-4546. The authorized person of Clint Vanlandingham is Mr. Clint Vanlandingham, DPM who is Owner of this DME and his contact number is 573-785-4546. Active license number of Clint Vanlandingham is 2004001321 for Podiatrist in Missouri. Clint Vanlandingham accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Clint Vanlandingham is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
DME Supplier Details:
Clint Vanlandingham type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Clint Vanlandingham |
| Type: | Podiatrist |
| Location: | 2600 Kanell Blvd, Poplar Bluff,
Missouri, 63901-3001 |
| Phone: | 573-785-4546 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Clint Vanlandingham |
| Credentials: | DPM |
| Position: | Owner |
| Contact Number: | 573-785-4546 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1144283524 |
| NPI Enumeration Date: | 07 Apr, 2006 |
| NPI Last Update On: | 15 May, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clint Vanlandingham are as mentioned below.
| Specialization | License Number | State | Status | |
| Podiatrist | 2004001321 | Missouri | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Medicare Enrollment:
Clint Vanlandingham is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0042246605 | O20100930004419 | Clint Vanlandingham | DME SUPPLIER - PHYSICIAN - PODIATRY |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 2600 Kanell Blvd,
Poplar Bluff, Missouri |
| Zip: | 63901-3001 |
| Phone Number: | 573-785-4546 |
Patients can reach Clint Vanlandingham at
2600 Kanell Blvd, Poplar Bluff, Missouri or can
call on customer care at 573-785-4546.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.