Doctor Name: | JEFFERY LONG |
NPI Number: | 1184656316 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 22259 |
Business Practice Address: | 600 Caisson Hill Rd Dept Of Ob/gyn Fort Riley, KS - 664427037 |
Business Phone Number: | 7852397028 |
Business Fax Number: | |
Mailing Address: | 600 Caisson Hill Rd, Dept Of Ob/gyn FORT RILEY |
State: | KS |
Postal Code: | 664427037 |
Phone Number: | 7852397028 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 22259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |