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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. SCOTT ALAN LANGE, PA

Active

MR. SCOTT ALAN LANGE, PA is a Surgical Physician Assistant healthcare provider located in PROVO, Utah. NPI 1104801315 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PROVO, UT

Registration Details

NPI Number
1104801315
Provider Type
Individual
Gender
Male
NPI Issued
Dec 9, 2005 (20.639073345811 yrs)
Last Updated
Apr 8, 2022
Licenses
PA00880 (OR)
6224324-1206 (UT)

Practice Information

Address
1134 N 500 W
SUITE 100
PROVO, UT, 846043383
Browse UT providers · Browse ZIP 84604
Phone
8013577081
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in PROVO, UT

Name Credential NPI
MR. DAVID WESLEY BROCK PA-C 1205024122
STEPHEN CRUZE PAC 1730318445
MS. JAMI Z MCKELL PA-C 1851625255
DREW KENNER LAMBOURNE PA-C 1184930786
LACEE WILKINSON PA-C 1164709630
DANIEL CHRISTENSEN PA 1184984320
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.