Individual
SIDNEY M LONGWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
981150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-1150
(402) 559-6705
Mailing address
14922 OGDEN ST, OMAHA, NE 68116-4529
(402) 991-4964
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
23313
NE
207P00000X
Emergency Medicine Physician
Primary
MD.025714
LA
Other
Enumeration date
02/22/2007
Last updated
07/05/2018
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