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Jack Long, D.C
NPI 1184792129 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2893 E Green Canyon Dr
Meridian, ID 83642 - Phone
- (208) 850-6511
- Fax
- (208) 888-3882
Registry record
- Primary taxonomy
- Chiropractor
111N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho