MR. Douglas W. Long, PA-C
NPI #1023079837 in Wilkes Barre, Pennsylvania
Provider Information
- NPI Number
- 1023079837
- Entity Type
- Individual
- Name
- MR. Douglas W. Long, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Mar 31, 2006
- Last Updated
- Dec 21, 2020
Practice Location
- Address
- 1000 E MOUNTAIN BLVD
- City
- Wilkes Barre
- State
- Pennsylvania
- ZIP Code
- 18711-0027
- Phone
- (570) 820-6020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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