DR. Jerry Wayne Long, O.D
NPI #1144295197 in Poplar Bluff, Missouri
Provider Information
- NPI Number
- 1144295197
- Entity Type
- Individual
- Name
- DR. Jerry Wayne Long, O.D
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Optometrist
- Credential
- O.D
- Enumeration Date
- Feb 22, 2006
- Last Updated
- Jul 3, 2014
Practice Location
- Address
- 213 N BROADWAY ST
- City
- Poplar Bluff
- State
- Missouri
- ZIP Code
- 63901-5135
- Phone
- (573) 785-8476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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