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Individual

WILLIAM G LANGSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
221 MAHALANI ST, WAILUKU, HI 96793-2526
(808) 242-2290
Mailing address
1885 MAIN ST, #407, WAILUKU, HI 96793-1819
(808) 244-5513

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00026726
AL
207P00000X
Emergency Medicine Physician
MD-13539
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000281071
BLUECROSSBLUESHIELD
HI
05
009935826
AL
01
051530205
BCBS PROVIDER NUMBER
AL
05
051556498
AL
05
626749
HI
01
7820686
AETNA
AL
Enumeration date
09/20/2005
Last updated
06/17/2009
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