Jonathon Long, MD

NPI 1477758423 · on the registry since 2007

Practice

Address: 210 E Franklin Ave
Weatherford, OK 73096
Phone: (580) 772-5600
Fax: (580) 772-5604
Organisation at this address: Villines Dental Care
Jonathan Ray Long Md Llc
Weatherford Hospital Authority
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 207Q00000X
207Q00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-08-29

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 Oklahoma