DR. John Jacob Long, DO

NPI #1063442648 in O Fallon, Missouri

Provider Information

NPI Number: 1063442648
Entity Type: Individual
Name: DR. John Jacob Long, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: DO
Enumeration Date: Jul 3, 2006
Last Updated: Apr 17, 2025

Practice Location

Address: 2 PROGRESS POINT PKWY
Address 2: DEPT ANESTHESIOLOGY
City: O Fallon
State: Missouri
ZIP Code: 63368-2205
Phone: (800) 862-9980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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