Patrick Barde Lang in Midvale - Physician Assistant

Patrick Barde Lang - NPI 1285794552

Patrick Barde Lang is a Physician Assistant in Midvale, Utah. Patrick Barde Lang practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Patrick Barde Lang is 1285794552. The last update date is 2011-11-03.

Patrick Barde Lang's current location address is 7495 South. State Street, Midvale, Utah. You can contact this provider via phone number 8012139400. The mailing address for Patrick Barde Lang is 7495 South. State Street, Midvale, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Patrick Barde Lang
Address 7495 South. State Street, Midvale, Utah
Phone Number 8012139400
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1285794552
Provider Enumeration Date 2006-12-09
Last Updated Date 2011-11-03

Provider Mailing Address Detail

Address 7495 South. State Street
City Midvale
State Utah (UT)
Post Code 84047
Phone Number 8012139400
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
377086-8906 UT UTAH DOPL PA CONTROL SUB
TPRA08420 UT MOLINDA HEALTHCARE OF UT
377086-1206 UT UT DPOL PA

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FAQs about Patrick Barde Lang

What is the unique 10-digit identification code assigned to Patrick Barde Lang by the Centers for Medicare & Medicaid Services?

The Patrick Barde Lang has been issued the NPI (National Provider Identifier) 1285794552, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Patrick Barde Lang's facilities are situated?

The facilities of Patrick Barde Lang are physically located at the following address: 7495 South. State Street, Midvale, UT, 84047.

What is the area of specialization for Patrick Barde Lang, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Patrick Barde Lang is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1285794552 to Patrick Barde Lang?

The Centers for Medicare & Medicaid Services originally issued the 1285794552 to Patrick Barde Lang on 2006-12-09.

When was the information regarding Patrick Barde Lang, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Patrick Barde Lang, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-03.

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