Individual
DR. JEREMIAH R LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(314) 362-7200
(314) 747-4189
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2013009614
MO
2085R0202X
Diagnostic Radiology Physician
Primary
55848
AZ
Other
Enumeration date
07/23/2006
Last updated
09/03/2020
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