DEANNE LONG MD LLC

LOGAN, UT
NPI1891929022
Entity TypeOrganization
Authorized ContactDEANNE LONG
Owner
435-713-1350
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2009-05-01
Last Update Date2009-05-01
Business Address
DEANNE LONG MD LLC
2380 N 400 E
LOGAN, UT 84341-6000
Phone number: 435-713-1354
Mailing Address
DEANNE LONG MD LLC
PO BOX 571470
SALT LAKE CITY, UT 84157-1470
Phone number: 310-388-9012
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