Stephen Long

NPI #1376633685 in Klamath Falls, Oregon

Provider Information

NPI Number
1376633685
Entity Type
Individual
Name
Stephen Long
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Oct 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1700 WADE CIR
State
Oregon
ZIP Code
97601-1581
Phone
(541) 883-7144

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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