MEDICARE: RICHARD W LANGERT MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	8880	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1Z2067	OTHER	AZ	HEALTHNET
2	2318	OTHER	AZ	PACIFICARE
3	628850	OTHER	AZ	AETNA
4	3335647	OTHER	AZ	CIGNA
5	483714	OTHER	AZ	UNITED HEALTHCARE
6	AZ0396310	OTHER	AZ	BCBS

General Provider Information

NPI Number	:	1013911429
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD W LANGERT MD PC

Provider Business Mailing Address
First Line	:	6520 E CARONDELET
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-2117
Country	:	US
Telephone Number	:	520-721-4745
Fax Number	:	520-721-1932

Provider Business Practice Location Address
First Line	:	6520 E CARONDELET
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85710-2117
Country	:	US
Telephone Number	:	520-721-4745
Fax Number	:	520-721-1932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	10/16/2007

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Directions to “ RICHARD W LANGERT MD PC” Practice Location

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