Individual
ALAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-3705
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
C54509
CA
Other
Enumeration date
05/17/2007
Last updated
01/15/2020
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