Individual
BRIAN SCOTT LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1717 N E ST STE 205, PENSACOLA, FL 32501-6336
(850) 437-8810
(850) 437-8809
Mailing address
PO BOX 17567, PENSACOLA, FL 32522-7567
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA9107954
FL
Other
Enumeration date
07/14/2014
Last updated
12/11/2019
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