Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN GENE LONG, P.A.
ActiveSTEPHEN GENE LONG, P.A. is a Surgical Physician Assistant healthcare provider located in WPAFB, Ohio. NPI 1073598207 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WPAFB, OH
Registration Details
- NPI Number
- 1073598207
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 9, 2005 (20.724048275206 yrs)
- Last Updated
- Jul 8, 2007
- License
-
1033659 NCCPA
Practice Information
- Address
-
4881 SUGAR MAPLE DRIVEWPAFB MEDICAL CENTERWPAFB, OH, 45324Browse OH providers · Browse ZIP 45324
- Phone
- 9372573509
- Fax
- 9372573509
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.