Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 8880 | AZ |
NPI | 1013911429 |
---|---|
Provider Name | Richard W Langert |
First Address | Tucson, AZ 85710-2117 |
Second Address | Tucson, AZ 85710-2117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 16/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1Z2067 | HEALTHNET (01) | AZ |
2318 | PACIFICARE (01) | AZ |
3335647 | CIGNA (01) | AZ |
483714 | UNITED HEALTHCARE (01) | AZ |
628850 | AETNA (01) | AZ |
AZ0396310 | BCBS (01) | AZ |
C99828 | (02) |