Individual provider · Type 1 NPI
Stephen Gene Long, P.A.
Surgical Physician Assistant · Wpafb, OH
NPI number
1073598207
Active
Practice location
4881 Sugar Maple Drive, Wpafb Medical Center
Wpafb, OH 45324
Fax (937) 257-3509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 1033659 NCCPA |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Wpafb
About NPI 1073598207
Stephen Gene Long, P.A.'s National Provider Identifier is 1073598207, issued on Dec 9, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wpafb, OH. The record was last updated on Jul 8, 2007.