Search › Arizona › 207Q00000X
Thomas Long, M.D
NPI 1558663781 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1841 Nugget Dr
Lake Havasu City, AZ 86404 - Phone
- (928) 453-8880
- Fax
- (928) 453-8880
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-11-19
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 Arizona