Individual
DR. JASON J LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR DEPT OF ANESTHESIOLOGY, PORTSMOUTH, VA 23708-2197
(757) 953-3238
Mailing address
620 JOHN PAUL JONES CIR DEPT OF ANESTHESIOLOGY, PORTSMOUTH, VA 23708-2197
(757) 953-3238
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
0101242173
VA
207L00000X
Anesthesiology Physician
Primary
0101242173
VA
Other
Enumeration date
12/13/2006
Last updated
06/14/2021
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