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Organization
LONG MEDICAL PLLC
Active
Organization
LONG MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THOMAS LONG DO (OWNER)
(208) 569-7139
Entity
Organization
Contact information
Practice address
2265 DESOTO ST, IDAHO FALLS, ID 83404-7540
(208) 569-7139
Mailing address
2265 DESOTO ST, IDAHO FALLS, ID 83404-7540
(208) 523-6773
(833) 468-5139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/02/2026
Last updated
07/24/2026
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