Individual
DR. JONATHON RAY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E FRANKLIN AVE, WEATHERFORD, OK 73096-5135
(580) 772-5600
(580) 772-5604
Mailing address
210 E FRANKLIN AVE, WEATHERFORD, OK 73096-5135
(580) 772-5600
(580) 772-5604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25746
OK
Other
Enumeration date
06/19/2007
Last updated
08/29/2019
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