Individual
MR. PATRICK MCLEAN LONG II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC. M.AC.O.M.
Contact information
Practice address
2644 S GLENSTONE AVE, SPRINGFIELD, MO 65804-3712
(417) 886-2063
Mailing address
3939 E WASHITA ST, SPRINGFIELD, MO 65809-2938
(417) 882-0796
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
2009022888
MO
Other
Enumeration date
09/18/2010
Last updated
09/18/2010
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