NPI 1376953885

Mitchell Jay Lang

Practitioner Athletic Trainer Jamestown, ND

Practice location

Address: 1105 4th Ave NE, Jamestown, ND 58401-3229
Phone: (701) 252-3467
Fax: (701) 253-4318

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 091-91 (ND)

Other Specialist/Technologist providers in North Dakota →

Registry record

NPI: 1376953885
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 May 2014
Record last updated: 6 May 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.