Individual
RYAN TRAVIS LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN12900
TN
367500000X
Certified Registered Nurse Anesthetist
RN174347
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3600142
—
TN
01
—
4170879
BLUE CARE
TN
01
—
P00469167
RAILROAD MEDICARE
—
Enumeration date
11/27/2007
Last updated
06/18/2008
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