Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT D. LONG, M.D.
ActiveDR. SCOTT D. LONG, M.D. is a Pediatric Radiology healthcare provider located in SPRINGFIELD, Illinois. NPI 1679686679 is currently active in the NPPES registry. Verify at CMS.
Pediatric Radiology · SPRINGFIELD, IL
Registration Details
- NPI Number
- 1679686679
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 16, 2006 (20.016065718158 yrs)
- Last Updated
- Nov 29, 2023
- Licenses
-
036-091122 (IL)036091122 (IL)
Practice Information
- Address
-
800 E CARPENTER STDEPARTMENT OF RADIOLOGYSPRINGFIELD, IL, 627025324Browse IL providers · Browse ZIP 62702
- Phone
- 2175446464
- Fax
- 2175255671
- Primary Specialty
-
Pediatric Radiology
2085P0229X
- Additional Specialty
- Pediatric Radiology
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.