Individual
MARTIN EDWARD LONGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3712 HIGHWAY 95 STE 8, BULLHEAD CITY, AZ 86442-8175
(928) 763-9333
(928) 763-9313
Mailing address
3712 HIGHWAY 95 STE 8, BULLHEAD CITY, AZ 86442-8175
(928) 763-9333
(928) 763-9313
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7012
AZ
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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