Jeffrey James Long, PA-S

NPI #1710388145 in Offutt Afb, Nebraska

Provider Information

NPI Number: 1710388145
Entity Type: Individual
Name: Jeffrey James Long, PA-S
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-S
Enumeration Date: Sep 4, 2014
Last Updated: Sep 4, 2014

Practice Location

Address: 2501 CAPEHART RD
City: Offutt Afb
State: Nebraska
ZIP Code: 68113-1043
Phone: (402) 294-8056

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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