Organization
JOHN M LONGO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI L STUART (BILLING MANAGER)
(712) 243-7030
Entity
Organization
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 792-8265
(712) 792-8264
Mailing address
PO BOX 284, CARROLL, IA 51401-0284
(712) 792-8265
(712) 792-8264
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
30135
IA
Other
Enumeration date
01/08/2008
Last updated
12/22/2009
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