Michael Thomas Long, DO

NPI #1063114742 in Idaho Falls, Idaho

Provider Information

NPI Number: 1063114742
Entity Type: Individual
Name: Michael Thomas Long, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: DO
Enumeration Date: Mar 20, 2023
Last Updated: Oct 27, 2025

Practice Location

Address: 3100 CHANNING WAY
City: Idaho Falls
State: Idaho
ZIP Code: 83404-7533
Phone: (208) 973-2144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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