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Organization
JONATHAN RAY LONG MD LLC
Active
Organization
JONATHAN RAY LONG MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHON RAY LONG MD (PRESIDENT)
(580) 772-5600
Entity
Organization
Contact information
Practice address
210 E FRANKLIN AVE, WEATHERFORD, OK 73096-5135
(580) 772-5600
(580) 772-5604
Mailing address
3735 LEGACY DRIVE, WEATHERFORD, OK 73096-3309
(580) 772-5600
(580) 772-5604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/24/2010
Last updated
02/25/2019
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