Individual provider · Type 1 NPI
Judith Ann Long, THERAPIST
Therapeutic Radiology Physician · Bradner, OH
NPI number
1417097429
Active
Practice location
109 N Evans
Bradner, OH 43406-0212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Therapeutic Radiology Physician Primary | 2085R0203X | 238639 (CA) |
Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
About NPI 1417097429
Judith Ann Long, THERAPIST's National Provider Identifier is 1417097429, issued on Feb 7, 2007. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Bradner, OH. The record was last updated on Jul 8, 2007.