Individual
BRENT M LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2401 PARK DR STE 101, HARRISBURG, PA 17110-9303
(717) 686-9842
Mailing address
2401 PARK DR, STE 101, HARRISBURG, PA 17110-9303
(610) 367-2259
(610) 367-0505
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1501096
KS
363A00000X
Physician Assistant
Primary
OA002700
PA
363AM0700X
Medical Physician Assistant
1501096
KS
363AM0700X
Medical Physician Assistant
MA001513L
PA
363AS0400X
Surgical Physician Assistant
1501096
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200366520A
—
KS
Enumeration date
06/12/2006
Last updated
04/29/2022
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