DR. Gordon David Long, M.D.

NPI #1487769766 in Ontario, Ohio

Provider Information

NPI Number: 1487769766
Entity Type: Individual
Name: DR. Gordon David Long, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Aug 20, 2006
Last Updated: Jul 5, 2022

Practice Location

Address: 715 RICHLAND MALL
City: Ontario
State: Ohio
ZIP Code: 44906-3802
Phone: (419) 529-6195

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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