JOHN JACOB LONG

O FALLON, MO
NPI1063442648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: MO  2004020474)
Enumeration Date2006-07-03
Last Update Date2024-06-06
Business Address
Dr. JOHN JACOB LONG DO
2 PROGRESS POINT PKWY DEPT ANESTHESIOLOGY
O FALLON, MO 63368-2205
Phone number: 800-862-9980
Mailing Address
Dr. JOHN JACOB LONG DO
PO BOX 60352
SAINT LOUIS, MO 63160-0352
Phone number: 800-862-9980
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