JAY RICHARD LONG

PHOENIX, AZ
NPI1447364963
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  8862)
Enumeration Date2006-08-19
Last Update Date2010-02-09
Business Address
-- JAY RICHARD LONG md
1190 E MISSOURI AVE SUIE 160
PHOENIX, AZ 85014-2734
Phone number: 602-246-7211
Mailing Address
-- JAY RICHARD LONG md
116 W ROSE LN
PHOENIX, AZ 85013-1527
Phone number: 602-266-3997