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Organization

JONATHAN RAY LONG MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHON RAY LONG MD (PRESIDENT)
(580) 772-5600
Entity
Organization

Contact information

Practice address
210 E FRANKLIN AVE, WEATHERFORD, OK 73096-5135
(580) 772-5600
(580) 772-5604
Mailing address
3735 LEGACY DRIVE, WEATHERFORD, OK 73096-3309
(580) 772-5600
(580) 772-5604

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/24/2010
Last updated
02/25/2019
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