MS. Madeline Victoria Long, PA-C

NPI #1225518277 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1225518277
Entity Type: Individual
Name: MS. Madeline Victoria Long, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 20, 2018
Last Updated: Sep 11, 2024

Practice Location

Address: 3001 BROADMOOR BLVD NE
City: Rio Rancho
State: New Mexico
ZIP Code: 87144-2100
Phone: (505) 994-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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