BRAD FORREST LONG

LEWISTON, ME
NPI1861655086
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: ME  EC081104)
Enumeration Date2008-07-08
Last Update Date2008-07-08
Business Address
-- BRAD FORREST LONG MD
76 HIGH ST
LEWISTON, ME 04240-7649
Phone number: 207-795-2800
Mailing Address
-- BRAD FORREST LONG MD
76 HIGH ST
LEWISTON, ME 04240-7649
Phone number: