Individual
DANTE OLIVER LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2312 N NEVADA AVE, SUITE 305, COLORADO SPRINGS, CO 80907-5302
(719) 634-7246
(719) 634-4042
Mailing address
2312 N NEVADA AVE, SUITE 305, COLORADO SPRINGS, CO 80907-5302
(719) 634-7246
(719) 634-4042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 862
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00213340
RR MEDICARE
NC
Enumeration date
08/22/2005
Last updated
01/30/2013
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