Individual
DR. WILLIAM STEVEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
802 N RIVERSIDE RD, SUITE G 50, SAINT JOSEPH, MO 64507-2553
(816) 271-6666
(816) 271-1300
Mailing address
802 N RIVERSIDE RD, SUITE G 50, SAINT JOSEPH, MO 64507-2553
(816) 671-4888
(816) 671-4890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
R5N29
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020054316
RR MEDICARE
MO
05
—
100119400B
—
KS
05
—
202888509
—
MO
Enumeration date
09/15/2006
Last updated
11/21/2017
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