Individual
ALAN WAYNE LANGVARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 W COURT ST, BEATRICE, NE 68310-3525
(402) 228-3366
(402) 228-3502
Mailing address
805 W COURT ST, PO BOX 578, BEATRICE, NE 68310-3525
(402) 228-3366
(402) 228-3502
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12760
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47063549900
—
NE
Enumeration date
10/26/2005
Last updated
03/07/2008
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