DOUG LONGO

SAINT LOUIS, MO
NPI1003276866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: MO  2016006780)
Enumeration Date2016-03-07
Last Update Date2020-10-30
Business Address
DOUG LONGO APRN
1201 S GRAND BLVD
SAINT LOUIS, MO 63104-1016
Phone number: 314-257-8000
Mailing Address
DOUG LONGO APRN
1008 S SPRING AVE
SAINT LOUIS, MO 63110-2520
Phone number: 314-977-4740
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