MITCHELL D LONG

NAMPA, ID
NPI1760405534
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: ID  0-273)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Dr. MITCHELL D LONG DO
1512 12TH AVE RD
NAMPA, ID 83686-6008
Phone number: 208-463-5100
Mailing Address
Dr. MITCHELL D LONG DO
2463 EASTDALE DR
BOISE, ID 83712-6724
Phone number: 208-343-2587
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