Individual
SCOTT T LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 655-6500
(575) 622-9777
Mailing address
113 E COLLEGE BLVD, ROSWELL, NM 88201-5158
(575) 655-6500
(575) 622-9777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
409
NM
Other
Enumeration date
09/17/2013
Last updated
09/17/2013
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