| Doctor Name: | JOHN M LONGO |
| NPI Number: | 1104811835 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 30135 |
| Business Practice Address: | 311 S Clark St Carroll, IA - 514013038 |
| Business Phone Number: | 7127928265 |
| Business Fax Number: | 7127928264 |
| Mailing Address: | 657 N 57th Ave, OMAHA |
| State: | NE |
| Postal Code: | 681322037 |
| Phone Number: | 4025564617 |
| Fax Number: | |
| NPI Enumeration Date: | 09/19/2005 |
| NPI Last Update Date: | 10/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0001X |
| License Number: | 30135 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Radiation Oncology |
| Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |