person
Tyler Jon Long
Student in an Organized Health Care Education/Training Program in Blacksburg, Virginia
NPI 1851954242

Tyler Jon Long is a Student in an Organized Health Care Education/Training Program based in Blacksburg, VA. Tyler Jon Long practices in Blacksburg, VA. The NPI Number for Tyler Jon Long is 1851954242 and holds a License No. 0116034370 (Virginia).

The current practice location address for Tyler Jon Long is 3700 S Main St, Blacksburg, VA and can be reached out via phone at 540-953-5445.

Location: 3700 S Main St, Blacksburg, VA, 24060-7017
person
Provider Profile Details
NPI Number
1851954242
Provider Name
Tyler Jon Long
Credential
Provider Entity Type
Individual
Gender
Male
Address
3700 S Main St, Blacksburg, VA, 24060-7017
Phone Number
540-953-5445
Fax Number
Provider Enumeration Date
04/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3700 S Main St
City
State
Zip
24060-7017
Phone Number
540-953-5445
Fax Number
person
Provider Business Mailing Address Details
Address
3700 S Main St
City
State
Zip
24060-7017
Phone Number
540-953-5445
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0116034370 (Virginia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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