B Jack Longley, MD

NPI #1609835669 in Madison, Wisconsin

Provider Information

NPI Number
1609835669
Entity Type
Individual
Name
B Jack Longley, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dermatology - Dermatopathology
Credential
MD
Enumeration Date
Mar 20, 2006
Last Updated
Jan 15, 2021

Practice Location

Address
8 N PROSPECT AVE
ZIP Code
53726-3936
Phone
(000) 000-0000

Specialties & Taxonomy Codes

Specialty
Dermatology - DermatopathologyDermatopathology

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