Grant Ian Langston
Grant Ian Langston is an Internal Medicine in Butler, Pennsylvania. Qualified in 2017, 9 years ago. Practices with St Clair Professional Services Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.
- Years since qualifying
- 9
- Licensed in
- PA
- In the registry since
- 2017
Practice location Address checks out
1 Hospital WayButler, PA 16001-4670
Phone: (724) 285-0823
Fax: (724) 285-0879
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence MD469465 (PA) |
|---|
Record details
| NPI number | 1891227427 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 2, 2017 |
| Last updated in NPPES | July 8, 2020 |
| Certification date | July 8, 2020 |
| Mailing address | Po Box 447, 500 Grant Ave, 3rd Floor, East Butler, PA 16029-0447 |
Medicare enrollment
| Medicare specialty | INTERNAL MEDICINE |
|---|---|
| Medical school | OTHER |
| Graduated | 2017 (9 years in practice) |
| Group practice | St Clair Professional Services Inc — 74 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Mr. James C Mathews, DO
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Robert A McNerney, DO
911 E Brady St, Butler, PA 16001-4646 · (724) 285-0823