person
Dr. Matthew Long, MD
Military Health Care Provider in San Diego, California
NPI 1376172932

Matthew Long is a Military Health Care Provider based in San Diego, CA. Matthew Long practices in San Diego, CA and has the professional credentials of MD. The NPI Number for Matthew Long is 1376172932 and holds a License No. (California).

The current practice location address for Matthew Long is 38400 Bob Wilson Dr, San Diego, CA and can be reached out via phone at 802-338-5164.

Location: 38400 Bob Wilson Dr, San Diego, CA, 92134-5000
person
Provider Profile Details
NPI Number
1376172932
Provider Name
Matthew Long
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
38400 Bob Wilson Dr, San Diego, CA, 92134-5000
Phone Number
802-338-5164
Fax Number
Provider Enumeration Date
04/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
38400 Bob Wilson Dr
City
State
Zip
92134-5000
Phone Number
802-338-5164
Fax Number
person
Provider Business Mailing Address Details
Address
38400 Bob Wilson Dr
City
State
Zip
92134-5000
Phone Number
802-338-5164
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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