Michael M Long Md Pc

LBN: Michael M Long Md Pc
Michael M Long Md Pc is an health care organization with primary practice located at 6424 E Broadway Rd 104, Mesa AZ 85206-1750. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as the primary health care specialty. Michael M Long Md Pc can be contacted via phone (480) 985-5331, or through Casillas, Julie via phone (480) 969-4634.

Contact Information

Primary practice address
6424 E Broadway Rd 104 Mesa AZ 85206-1750
Phone: (480) 985-5331
Fax: (480) 924-6919
Website:
Map and Directions
Authorized official contact:
Name: Casillas, Julie
Phone: (480) 969-4634

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X

Profile Details

NPI number 1356548507
LBN Legal business name Michael M Long Md Pc
DBA Doing business as
Authorized official Casillas, Julie
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2007
Last updated Apr 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356548507 NPPES
Arizona MEDICAID 28583402

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