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Dr. MITCHELL D LONG -- DO

Individual Provider (NPI-1) Active

Emergency Medicine

Provider Information

NPI Number
1760405534
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
1512 12TH AVE RD, NAMPA, ID, 836866008
Phone
(208) 463-5100

Specialties & Taxonomies

Emergency Medicine Primary License: ID #0-273

All Addresses

LOCATION

1512 12TH AVE RD

NAMPA, ID, 836866008

(208) 463-5100

MAILING

2463 EASTDALE DR

BOISE, ID, 837126724

(208) 343-2587