| Doctor Name: | DR. DESMOND J LONGFORD |
| NPI Number: | 1033320015 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101013842 |
| Business Practice Address: | 3000 Godwin Blvd Suffolk, VA - 234347119 |
| Business Phone Number: | 7579231060 |
| Business Fax Number: | |
| Mailing Address: | 314 Jordan Dr, SMITHFIELD |
| State: | VA |
| Postal Code: | 234301428 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | 0101013842 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |