Brenton Vaughn Long, D.O.

NPI #1790751154 in Shippenville, Pennsylvania

Provider Information

NPI Number: 1790751154
Entity Type: Individual
Name: Brenton Vaughn Long, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: D.O.
Enumeration Date: Feb 27, 2006
Last Updated: May 29, 2008

Practice Location

Address: 21159 PAINT BLVD
Address 2: SUITE 2
City: Shippenville
State: Pennsylvania
ZIP Code: 16254-4023
Phone: (814) 226-6770

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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