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Individual
DAVID KC LANGILLE
Active
Individual
DAVID KC LANGILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
0101043050
VA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
0101043050
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010146135
—
VA
01
—
067TT
BLUE CROSS BLUE SHIELD NC
—
01
—
082480
BLUE CROSS BLUE SHIELD VA
—
01
—
251490
MAMSI/MDIPA
—
05
—
5900447
—
NC
01
—
9300570
OPTIMUM CHOICE
—
01
—
93215
OPTIMA
—
01
—
P00201468
MEDICARE RAILROAD
—
Enumeration date
08/16/2006
Last updated
01/05/2022
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