THOMAS EUGENE LONG

LAKE HAVASU CITY, AZ
NPI1558663781
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AZ  34402)
Enumeration Date2010-11-19
Last Update Date2010-11-19
Business Address
Dr. THOMAS EUGENE LONG M.D.
1841 NUGGET DR
LAKE HAVASU CITY, AZ 86404-1813
Phone number: 928-453-8880
Mailing Address
Dr. THOMAS EUGENE LONG M.D.
PO BOX 5505
LAKE HAVASU CITY, AZ 86404-0201
Phone number: 928-453-8880
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