Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0105X | Surgery of the Hand | 2000146110 | MO |
NPI | 1639192123 |
---|---|
Provider Name | Dr. Scott Alan Langford |
First Address | Kansas City, MO 64131-4517 |
Second Address | Lees Summit, MO 64086-6011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 18/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2424980 | AETNA (01) | MO |
26557018 | BLUE CROSS BLUE SHIELD (01) | MO |
H10167 | (02) | MO |