Phillip B. Long in Gallipolis - Diagnostic Radiology

Phillip B. Long - NPI 1770520330

Phillip B. Long is a Diagnostic Radiology in Gallipolis, Ohio. Phillip B. Long practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Phillip B. Long is 1770520330. The last update date is 2021-01-21.

Phillip B. Long's current location address is 90 Jackson Pike, Gallipolis, Ohio. You can contact this provider via phone number 7404465289 and fax number 7404465697. The mailing address for Phillip B. Long is 90 Jackson Pike, Gallipolis, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Phillip B. Long
Address 90 Jackson Pike, Gallipolis, Ohio
Phone Number 7404465289
Fax Number 7404465697
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1770520330
Provider Enumeration Date 2006-06-01
Last Updated Date 2021-01-21

Provider Mailing Address Detail

Address 90 Jackson Pike
City Gallipolis
State Ohio (OH)
Post Code 456311560
Phone Number 7404465289
Fax Number 7404465697

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 18423
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
969797 OH --
1770520330 KY --
940000116 RR MEDICARE
969797 OH MOLINA MEDICAID
6828 ANTHEM BCBS
190752 OH UNISON MEDICAID
1714084 MOUNTAIN STATE BCBS
120547000 WV --

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FAQs about Phillip B. Long

What is the unique identification code assigned to Phillip B. Long by the Centers for Medicare & Medicaid Services?

The Phillip B. Long has been issued the NPI (National Provider Identifier) 1770520330. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Phillip B. Long?

The Phillip B. Long is physically situated at 90 Jackson Pike, in the city of Gallipolis, state of OH, with the postal code 456311560.

What is the area of specialization for Phillip B. Long, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Phillip B. Long is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.

When was the Phillip B. Long's 1770520330 issued?

The Phillip B. Long's 1770520330 was issued on 2006-06-01.

As of what date were the details pertaining to Phillip B. Long last refreshed?

The information related to the Phillip B. Long, including its address, specialty, and other relevant details, was last updated on 2021-01-21.

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