Individual
DR. DOUGLAS DAMIAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9358 KENMORE WAY, NORTH RIDGEVILLE, OH 44039-6441
(440) 822-4749
Mailing address
9358 KENMORE WAY, NORTH RIDGEVILLE, OH 44039-6441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-001094
OH
Other
Enumeration date
11/17/2025
Last updated
11/17/2025
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