Brian Long

NPI 1972909422 · on the registry since 2014

Practice

Address: 344 E 100 S Ste 301
Salt Lake City, UT 84111
Phone: (801) 322-4257
Organisation at this address: Odyssey House
Odyssey House
Odyssey House Of Utah
Odyssey House Of Utah
Odyssey House Of Utah
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 1,575

Registry record

Primary taxonomy: Community Health Worker
172V00000X
Licence states on file: AK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-11-11

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 Utah