person
Justin Allen Long, PA
Surgical Physician Assistant in Salina, Kansas
NPI 1447587027

Justin Allen Long is a Surgical Physician Assistant based in Salina, KS and is specialized in Surgical. Justin Allen Long practices in Salina, KS and has the professional credentials of PA. The NPI Number for Justin Allen Long is 1447587027 and holds a License No. 15-02009 (Kansas).

The current practice location address for Justin Allen Long is 501 S Santa Fe Ave, Suite 200, Salina, KS and can be reached out via phone at 785-452-7562 and via fax at 785-452-7105.

Location: 501 S Santa Fe Ave, Suite 200, Salina, KS, 67401
person
Provider Profile Details
NPI Number
1447587027
Provider Name
Justin Allen Long
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
501 S Santa Fe Ave, Suite 200, Salina, KS, 67401
Phone Number
785-452-7562
Fax Number
785-452-7105
Provider Enumeration Date
11/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201166150A 05 KS
institution
Provider Business Practice Location Address Details
Address
501 S Santa Fe Ave, Suite 200
City
State
Zip
67401
Phone Number
785-452-7562
Fax Number
785-452-7105
person
Provider Business Mailing Address Details
Address
501 S Santa Fe Ave, Suite 200
City
State
Zip
67401
Phone Number
785-452-7562
Fax Number
785-452-7105
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA150409 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
15-02009 (Kansas)
Definition
Definition to come...
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