Individual
SUMMER DAWN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
743 HORIZON COURT, STE 105, GRAND JUNCTION, CO 81506
(970) 244-8708
Mailing address
425 PATTERSON RD, STE 605, GRAND JUNCTION, CO 81506
(970) 244-2482
(970) 255-1701
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2182
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86334051
—
CO
Enumeration date
06/20/2006
Last updated
01/14/2010
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