Individual
DR. BRADLEY T LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3366 NW EXPRESSWAY STE 550, OKLAHOMA CITY, OK 73112-4489
(405) 942-5442
Mailing address
612 N. KELHAM AVENUE, OKLAHOMA CITY, OK 73117
(405) 699-1105
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
18364
WI
207RN0300X
Nephrology Physician
Primary
34999
OK
Other
Enumeration date
05/02/2013
Last updated
12/06/2019
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