Individual
JASON T LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4364 WASHINGTON BLVD, OGDEN, UT 84403-1866
(801) 479-4470
Mailing address
6907 W MORROW DR, GLENDALE, AZ 85308-5793
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9034821-3102
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
9034821-4406
UT
Other
Enumeration date
07/28/2019
Last updated
02/06/2023
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