Individual
DR. DOUGLAS ROY LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1055 N 500 W, STE 212; BLDG C, PROVO, UT 84604-3305
(385) 203-1240
(801) 375-4237
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
9331048-1205
UT
2084N0400X
Neurology Physician
23114
NE
2084N0400X
Neurology Physician
Primary
9331048-1205
UT
2084N0600X
Clinical Neurophysiology Physician
9331048-1205
UT
Other
Enumeration date
02/03/2006
Last updated
11/12/2018
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