Individual
DR. CHARLES THOMS LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4250 H ST, SUITE 3, SACRAMENTO, CA 95819-3441
(916) 456-8756
(916) 456-1542
Mailing address
4250 H ST, SUITE 3, SACRAMENTO, CA 95819-3441
(916) 456-8756
(916) 456-1542
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A35521
CA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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