Individual
DR. ANTHONY JAMES LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 N 16TH AVE, YAKIMA, WA 98902-1347
(509) 454-8888
(509) 453-0061
Mailing address
2415 E QUARTZ MOUNTAIN DR, ELLENSBURG, WA 98926-8166
(509) 859-2097
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
BP3-0020794
TX
207X00000X
Orthopaedic Surgery Physician
Primary
MD00047672
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043839
—
WA
Enumeration date
06/14/2007
Last updated
01/17/2019
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