Individual provider · Type 1 NPI
Justin Allen Long, PA
Surgical Physician Assistant · Salina, KS
NPI number
1447587027
Active
Practice location
501 S Santa Fe Ave, Suite 200
Salina, KS 67401
Fax (785) 452-7105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 15-02009 (KS) |
| Surgical Physician Assistant | 363AS0400X | PA150409 (OR) |
| Surgical Physician Assistant Primary | 363AS0400X | 1502009 (KS) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
Other surgical physician assistant providers in Salina
About NPI 1447587027
Justin Allen Long, PA's National Provider Identifier is 1447587027, issued on Nov 3, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Salina, KS. The record was last updated on Mar 4, 2020.