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Individual

DR. GERNON A LONGO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7710 MERCY RD, STE 608, OMAHA, NE 68124-2346
(402) 399-8166
(402) 399-0718
Mailing address
111 S 90TH ST, OMAHA, NE 68114-3907
(402) 397-9800
(402) 397-7591

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12465
NE

Other

Enumeration date
06/01/2005
Last updated
07/08/2007
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