Individual
BENJAMIN ANDREW LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 N WHEELER AVE, SALLISAW, OK 74955-2227
(918) 774-5513
(918) 775-5526
Mailing address
4103 S YALE AVE STE B, TULSA, OK 74135-6002
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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