Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENTON VAUGHN LONG, D.O.
ActiveBRENTON VAUGHN LONG, D.O. is a General Practice healthcare provider located in SHIPPENVILLE, Pennsylvania. NPI 1790751154 is currently active in the NPPES registry. Verify at CMS.
General Practice · SHIPPENVILLE, PA
Registration Details
- NPI Number
- 1790751154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2006 (20.439478931818 yrs)
- Last Updated
- May 29, 2008
- License
-
OS004611L (PA)
Practice Information
- Address
-
21159 PAINT BLVDSUITE 2SHIPPENVILLE, PA, 162544023Browse PA providers · Browse ZIP 16254
- Phone
- 8142266770
- Fax
- 8142261015
- Primary Specialty
-
General Practice
208D00000X
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.