Individual
SCOTT A LONGFELLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5111
Mailing address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 890-8004
(813) 290-9691
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD210831
OR
207L00000X
Anesthesiology Physician
ME95401
FL
Other
Enumeration date
03/16/2007
Last updated
07/21/2023
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