Individual
ERIK LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
388 MARTIN ST, TWIN FALLS, ID 83301-4544
(208) 734-0451
(208) 734-0452
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-3313
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-9131
ID
Other
Enumeration date
05/01/2006
Last updated
11/27/2012
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