Individual
TONY LANGSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3618 DAWNWOOD DR, INDIANAPOLIS, IN 46227-7971
(317) 767-9912
Mailing address
3618 DAWNWOOD DR, INDIANAPOLIS, IN 46227-7971
(317) 767-9912
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
8972311612
IN
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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