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Phillip B. Long, MD
Diagnostic Radiology Physician in Gallipolis, Ohio
NPI 1770520330

Phillip B. Long is a Diagnostic Radiology Physician based in Gallipolis, OH and is specialized in Diagnostic Radiology. Phillip B. Long practices in Gallipolis, OH and has the professional credentials of MD. The NPI Number for Phillip B. Long is 1770520330 and holds a License No. 18423 (Ohio).

The current practice location address for Phillip B. Long is 100 Jackson Pike, Gallipolis, OH and can be reached out via phone at 740-446-5289 and via fax at 740-446-5697.

Location: 100 Jackson Pike, Gallipolis, OH, 45631-1560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770520330
Provider Name
Phillip B. Long
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Jackson Pike, Gallipolis, OH, 45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0969797 05 OH
1770520330 05 KY
940000116 01 RR MEDICARE
0969797 01 OH MOLINA MEDICAID
000000006828 01 ANTHEM BCBS
000000190752 01 OH UNISON MEDICAID
001714084 01 MOUNTAIN STATE BCBS
0120547000 05 WV
institution
Provider Business Practice Location Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
person
Provider Business Mailing Address Details
Address
100 Jackson Pike
City
Gallipolis
State
Ohio
Zip
45631-1560
Phone Number
740-446-5289
Fax Number
740-446-5697
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
18423 (West Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
18423 (West Virginia)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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