SCOTT CLARKE LONG

MOBILE, AL
NPI1932116498
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: AL  PA-221)
Enumeration Date2006-08-01
Last Update Date2007-07-08
Business Address
-- SCOTT CLARKE LONG pa
1504 SPRING HILL AVE
MOBILE, AL 36604-3207
Phone number: 251-219-3957
Mailing Address
-- SCOTT CLARKE LONG pa
1504 SPRING HILL AVE
MOBILE, AL 36604-3207
Phone number: 251-219-3957
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