Individual
MARY C LANGENDERFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 WEST BROADWAY, MISSOULA, MT 59802-4008
(406) 329-7598
(406) 721-3907
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 329-7598
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4783
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066053
—
MT
Enumeration date
05/23/2006
Last updated
10/23/2013
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