Individual
MRS. AMBER S LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3701 S CLARKSON ST STE 400, ENGLEWOOD, CO 80113-3960
(303) 761-7797
(303) 789-2995
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0001423
CO
363AM0700X
Medical Physician Assistant
PA.0001423
CO
Other
Enumeration date
05/17/2006
Last updated
02/22/2021
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