Individual
ROBERT L LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3460 PIONEER PKWY, WEST VALLEY CITY, UT 84120-2049
(801) 993-9526
(801) 733-5872
Mailing address
65 W 850 S, CENTERVILLE, UT 84014-2198
(801) 733-2155
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
212994-4406
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004373400
—
ID
05
—
117819900
—
WY
01
—
190400800
US DEPT OF LABOR
UT
01
—
2000012
UNITED HEALTHCARE
UT
05
—
200611540A
—
KS
01
—
24053
PEHP
UT
01
—
350411
DESERET MUTUAL
UT
01
—
53000
HEALTHY U
UT
01
—
870532396LA1
EDUCATORS MUTUAL
UT
01
—
PR00660
MOLINA
UT
01
—
QM0000023694
ALTIUS
UT
Enumeration date
08/20/2006
Last updated
07/21/2009
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