Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2706 | OK |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 2706 | OK |
NPI | 1033119490 |
---|---|
Provider Name | Richard J Langerman JR. |
First Address | Oklahoma City, OK 73139-9475 |
Second Address | Oklahoma City, OK 73139-9475 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 10/07/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2706 | MEDICAL LICENSE (01) | OK |
F66011 | (02) | OK |