Provider Demographics
NPI:1740327014
Name:LANGSTON, MATTHEW M (MD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:M
Last Name:LANGSTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 1727
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81502-1727
Mailing Address - Country:US
Mailing Address - Phone:970-263-2619
Mailing Address - Fax:970-263-2691
Practice Address - Street 1:2373 G RD STE 160
Practice Address - Street 2:
Practice Address - City:GRAND JCT
Practice Address - State:CO
Practice Address - Zip Code:81505-1003
Practice Address - Country:US
Practice Address - Phone:970-644-3250
Practice Address - Fax:970-644-3916
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2022-06-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO45961207L00000X, 207LP2900X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine