CLINT VANLANDINGHAM NPI 1144283524

NPI Information

  • NPI: 1144283524
  • Provider Name: CLINT VANLANDINGHAM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Organization
  • Doing Business As: COPPERTOP FOOT AND ANKLE CLINIC
  • Address: 2600 KANELL BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (573) 785-4546

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NPI Details

CLINT VANLANDINGHAM is a podiatrist in Poplar Bluff, MO. The provider 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. CLINT VANLANDINGHAM NPI is 1144283524. The provider is registered as an organization entity type.
The provider Is Doing Business As Coppertop Foot And Ankle Clinic.

The provider's business location address is:

2600 KANELL BLVD
POPLAR BLUFF, MO
ZIP 63901-001
Phone: (573) 785-4546

The provider's authorized official is Clint Vanlandingham .
The authorized official title is Owner and has the following contact phone number (573) 785-4546.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 5/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2213E00000XPodiatrist2004001321MISSOURIYes

What is NPI?

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This page was last updated on: 11/21/2025

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