Individual
JUDE LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 E ROWAN AVE, SUITE 170, SPOKANE, WA 99207-1202
(509) 482-4300
(509) 482-4301
Mailing address
3331 N SEMINARY AVE, #3, CHICAGO, IL 60657-2220
(608) 347-9878
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
43473-020
WI
174400000X
Specialist
Primary
MD00041349
WA
Other
Enumeration date
06/01/2007
Last updated
11/25/2008
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