Individual
DR. JOHN F LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
124 E ROWAN AVE STE 202, SPOKANE, WA 99207-1214
(509) 487-8000
(509) 487-6333
Mailing address
124 E ROWAN AVE, STE 202, SPOKANE, WA 99207-1214
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OP00001806
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033149125
—
WA
01
—
P01422693
RR MEDICARE
WA
Enumeration date
07/04/2006
Last updated
05/15/2020
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