Individual
CHRISTIAN DANIEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2196 E WILLIAMS FIELD RD, #116, GILBERT, AZ 85295-0754
(888) 663-6331
(415) 252-7176
Mailing address
2196 E WILLIAMS FIELD RD, #116, GILBERT, AZ 85295-0754
(480) 237-1395
(602) 218-4076
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2642
AZ
Other
Enumeration date
07/19/2006
Last updated
03/17/2025
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