Stephen Gene Long, P.A.

NPI #1073598207 in Wpafb, Ohio

Provider Information

NPI Number
1073598207
Entity Type
Individual
Name
Stephen Gene Long, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
P.A.
Enumeration Date
Dec 9, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
4881 SUGAR MAPLE DRIVE
Address 2
WPAFB MEDICAL CENTER
City
Wpafb
State
Ohio
ZIP Code
45324
Phone
(937) 257-3509

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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