Individual
CRYSTAL B LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
322 WARREN ST, SUITE 300, JOHNSTOWN, PA 15905-3443
(814) 288-1418
(814) 288-5427
Mailing address
322 WARREN ST, SUITE 300, JOHNSTOWN, PA 15905-3443
(814) 288-1418
(814) 288-5427
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052464
PA
Other
Enumeration date
07/12/2006
Last updated
07/08/2010
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