Individual
DR. DONNA RICHELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2145 S. DOBSON RD, MESA, AZ 85202
(480) 512-5800
Mailing address
16216 S 14TH DR, PHOENIX, AZ 85045-0615
(480) 512-5800
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
27027
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G147064
CA
Other
Enumeration date
09/05/2006
Last updated
08/28/2018
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