Individual
PAIGE BERNIECE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
606 E SPRING ST, BOONVILLE, MO 65233-1523
(660) 882-3955
(660) 882-3972
Mailing address
606 E SPRING ST, BOONVILLE, MO 65233-1523
(660) 882-3955
(660) 882-3972
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2024014052
MO
Other
Enumeration date
04/26/2024
Last updated
10/30/2024
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