Individual
GERNON M LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-7300
(402) 559-8985
Mailing address
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8102
(402) 559-7300
(402) 559-8985
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
23374
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47078557580
—
NE
Enumeration date
05/10/2006
Last updated
06/30/2011
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