Individual
MYRA C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
651 E PRESCOTT, SALINA, KS 67401-7408
(785) 825-7251
(785) 825-6887
Mailing address
651 E PRESCOTT, SALINA, KS 67401-7408
(785) 825-7251
(785) 825-6887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0428977
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100420030A
—
KS
Enumeration date
08/30/2006
Last updated
08/15/2011
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