Individual
LANGSTON PETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 W 100 S STE 270, LOGAN, UT 84321-5843
(801) 896-0793
Mailing address
7570 W 9600 N, TREMONTON, UT 84337-8629
(801) 719-0455
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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