STEPHEN GENE LONG

WPAFB, OH
NPI1073598207
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence:   1033659 NCCPA)
Enumeration Date2005-12-09
Last Update Date2007-07-08
Business Address
-- STEPHEN GENE LONG P.A.
4881 SUGAR MAPLE DRIVE WPAFB MEDICAL CENTER
WPAFB, OH 45324
Phone number: 937-257-3509
Mailing Address
-- STEPHEN GENE LONG P.A.
4881 SUGAR MAPLE DRIVE WPAFB MEDICAL CENTER
WPAFB, OH 45324
Phone number: 937-257-3509
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