Bradley Allen Langley MD

NPI 1083604722 - Family Medicine - 207Q00000X

NPI Details
NPI 1083604722
Gender Male
Enumeration Date 10/25/2005
Last Updated 12/11/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
721 SNELLING AVE S
SAINT PAUL MN, 55116-2228, US
Phone (651) 690-1311
Fax (651) 690-2447
Business Location
721 SNELLING AVE S
SAINT PAUL MN, 55116-2228, US
Phone (651) 690-1311
Fax (651) 690-2447
Toxanomy
Taxonomy Code 207Q00000X
License State Minnesota
License Number 26499
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According to our database, Bradley Allen Langley MD NPI is 1083604722, taxonomy code is 207Q00000X and license number is 26499, license state is located at Minnesota. Bradley Allen Langley MD physically located at 721 Snelling Ave S, Saint Paul MN, 55116-2228. NPI Number Bradley Allen Langley MD has the Individual type.

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1083604722 NPI number is provided on an as is basis without warranty of any kind. 1083604722 is maintained by the National Plan & Provider Enumeration System. The contents of Bradley Allen Langley MD are for informational purposes only.