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Organization

JAMES LONGTON DPM PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES A LONGTON DPM (OWNER)
(480) 212-2959
Entity
Organization

Contact information

Practice address
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306-4622
(480) 212-2959
(866) 598-4832
Mailing address
3217 E SHEA BLVD, #503, PHOENIX, AZ 85028-3301
(480) 212-2959
(866) 598-4832

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
639
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084639
AZ
01
1245288950
INDIVIDUAL NPI
AZ
01
AZ0910520
BCBS OF AZ
AZ
01
P00340466
RR MEDICARE
AZ
Enumeration date
05/16/2006
Last updated
10/04/2016
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