Individual provider · Type 1 NPI

Trevor Dean Scott Long, PA

Student in an Organized Health Care Education/Training Program · Tulsa, OK

NPI number 1750106886 Active

Practice location

4502 E 41st St
Tulsa, OK 74135-2536

Call (918) 660-3842 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750106886

Trevor Dean Scott Long, PA's National Provider Identifier is 1750106886, issued on Nov 22, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tulsa, OK. The record was last updated on Dec 5, 2024.