Individual
DR. BRYAN EDWARD LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVAL MEDICAL RESEARCH AND TRAINING COMMAND SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92009
(619) 532-5432
(619) 532-8055
Mailing address
NAVAL MEDICAL RESEARCH AND TRAINING COMMAND SAN DIEGO, 34800 BOB WILSON DRIVE, SAN DIEGO, CA 92009
(619) 532-5432
(619) 532-8055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-151803
CA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
151803
CA
Other
Enumeration date
06/18/2009
Last updated
01/08/2024
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