Individual
DR. SUZETTE MYTON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1997 MIAMISBURG-CENTERVILLE ROAD, SOUTHVIEW HOSPITAL, DAYTON, OH 45459
(937) 439-6000
Mailing address
PO BOX 750353, DAYTON, OH 45475-0353
(937) 439-1280
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
094166
OH
Other
Enumeration date
01/04/2008
Last updated
10/01/2009
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