Individual
JEFFREY JAMES LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
2501 CAPEHART RD, OFFUTT AFB, NE 68113-1043
(402) 294-8056
Mailing address
12217 S 28TH AVE, BELLEVUE, NE 68123-1759
(803) 406-3260
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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