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Individual

DR. JOHN STEVEN LONG JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2150 S DOUGLAS BLVD STE A, MIDWEST CITY, OK 73130-6200
(405) 476-7040
Mailing address
2150 S DOUGLAS BLVD STE A, MIDWEST CITY, OK 73130-6200
(405) 458-4005
(405) 676-0735

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26483
OK

Other

Enumeration date
06/13/2009
Last updated
08/07/2024
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