Deanne Long MD LLC

NPI #1891929022 in Logan, Utah

Provider Information

NPI Number: 1891929022
Entity Type: Organization
Organization Name: Deanne Long MD LLC
Primary Specialty: Surgery
Enumeration Date: May 1, 2009
Last Updated: May 1, 2009

Practice Location

Address: 2380 N 400 E
City: Logan
State: Utah
ZIP Code: 84341-6000
Phone: (435) 713-1354

Authorized Official

Name: MS. DEANNE LONG, M.D.
Title: OWNER
Phone: (435) 713-1350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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