Individual
DR. JAMES ALLEN LONGABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1115 MAIN, SABETHA, KS 66534
(785) 284-2141
(785) 284-0063
Mailing address
P.O. BOX 229, SABETHA, KS 66534
(785) 284-2141
(785) 284-0063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-25864
KS
208600000X
Surgery Physician
310
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100236940C
—
KS
Enumeration date
01/25/2006
Last updated
01/21/2021
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