Individual
DR. STEVEN R LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1825 4TH ST RM L2181A, SAN FRANCISCO, CA 94143-2350
(415) 353-4554
(415) 353-7676
Mailing address
1825 4TH ST RM L2181A, SAN FRANCISCO, CA 94143-2350
(415) 353-4554
(415) 353-7676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G79234
CA
207ZP0101X
Anatomic Pathology Physician
Primary
G79234
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G79234
—
CA
Enumeration date
08/12/2006
Last updated
12/11/2020
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