Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY P. LONG, MD
ActiveDR. JEFFREY P. LONG, MD is a 2085R0203X healthcare provider located in HOUMA, Louisiana. NPI 1629177936 is currently active in the NPPES registry. Verify at CMS.
2085R0203X · HOUMA, LA
Registration Details
- NPI Number
- 1629177936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 22, 2006 (19.929372877838 yrs)
- Last Updated
- Dec 28, 2011
- Licenses
-
MD00038248 (WA)202753 (LA)
Practice Information
- Address
-
8166 MAIN STSTE 101HOUMA, LA, 703603404Browse LA providers · Browse ZIP 70360
- Phone
- 9858769045
- Primary Specialty
-
2085R0203X
2085R0203X
- Additional Specialty
- 2085R0203X
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.