Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY P LONG, M.D.
ActiveDR. TIMOTHY P LONG, M.D. is a Family Medicine healthcare provider located in MARTHASVILLE, Missouri. NPI 1558384214 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MARTHASVILLE, MO
Registration Details
- NPI Number
- 1558384214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.054814549848 yrs)
- Last Updated
- Jan 23, 2012
- License
-
R9468 (MO)
Practice Information
- Address
-
200 N HIGHWAY 47MARTHASVILLE, MO, 63357Browse MO providers · Browse ZIP 63357
- Phone
- 6364335411
- Fax
- 6364332910
- Primary Specialty
-
Family Medicine
207Q00000X
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.