Individual
TIMOTHY ANDREW LANGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4336 LARSON WAY, SALT LAKE CITY, UT 84124-2718
(801) 277-5643
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(801) 277-5643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
368384-1206
UT
Other
Enumeration date
12/12/2006
Last updated
02/22/2016
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