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Individual

JAMES A LONGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(602) 865-2230
(866) 598-4832
Mailing address
3217 E SHEA BLVD # 503, PHOENIX, AZ 85028-3340
(480) 212-2959
(866) 598-4832

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0639
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0254728
EMBLEM
AZ
05
084639
AZ
01
6460170001
DMERC REG C
AZ
01
7364812
AETNA
AZ
01
AZ0910520
BLUE CROSS BLUE SHIELD
AZ
01
P00340466
MEDICARE RAILROAD
AZ
Enumeration date
05/05/2006
Last updated
10/04/2016
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