STEWART MCLENDON LONG III MD
Individual Provider (NPI-1)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1588720007- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 500 W BROADWAY ST, MISSOULA, MT, 598024008
- Phone
- (406) 329-5612
- Fax
- (406) 329-5606
Specialties & Taxonomies
Thoracic Surgery (Cardiothoracic Vascular Surgery)
License: GA #054274
Thoracic Surgery (Cardiothoracic Vascular Surgery)
License: NC #2020-00263
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: MT #MED-PHYS-LIC-11421