Individual
DR. MICHAEL M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6111 E ARBOR AVE, MESA, AZ 85206-6059
(480) 981-1326
(480) 981-1445
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
18844
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28583402
—
AZ
Enumeration date
02/13/2006
Last updated
06/12/2014
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