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Individual

ROBERT L LANGSTON

Active
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Individual

ROBERT L LANGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

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
Update your record

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