Individual
JEFFERSON ROBERT LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
554
NV
152W00000X
Optometrist
9848901-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100511123
—
NV
01
—
P00370806
RAILROAD MEDICARE
NV
Enumeration date
07/28/2006
Last updated
06/29/2016
Update your record
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