Individual
AUDRA EILEEN LANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
375 S CHIPETA WAY STE A200, SALT LAKE CITY, UT 84108-1261
(801) 581-2016
Mailing address
1908 E GUNDERSON LN, HOLLADAY, UT 84124-2621
(801) 859-4430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10975581-1206
UT
Other
Enumeration date
09/19/2018
Last updated
11/17/2021
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