Individual
DR. GORDON LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
333 N 14TH ST, WAKEENEY, KS 67672-3000
(785) 743-2124
Mailing address
300 HAZEL AVE, WAKEENEY, KS 67672-1538
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
04-20739
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104716
BCBS WFCC RHC
KS
01
—
105315
BCBS EFCC RHC
KS
Enumeration date
08/21/2006
Last updated
07/09/2007
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