Individual
JAMES MELVIN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 NUT TREE RD STE 390, VACAVILLE, CA 95687-4100
(707) 624-8000
(707) 624-8001
Mailing address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5611
(707) 646-4902
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
C50016
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C50016
MEDICAL LICENSE
CA
Enumeration date
09/16/2006
Last updated
12/21/2023
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