Organization Name: | JOHN M LONGO MD PC |
NPI Number: | 1205011392 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI L STUART (BILLING MANAGER) |
Mailing Address: | 311 S Clark St Carroll |
State: | IA US |
Postal Code: | 514013038 |
Phone Number: | 7127928265 |
Fax Number: | 7127928264 |
NPI Enumeration Date: | 01/08/2008 |
NPI Last Update Date: | 12/22/2009 |
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. |