STEPHEN GENE LONG P.A. NPI 1073598207

NPI Information

  • NPI: 1073598207
  • Provider Name: STEPHEN GENE LONG, P.A.
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 4881 SUGAR MAPLE DRIVE
    WPAFB MEDICAL CENTER
    WPAFB, OH
    ZIP 45324
  • Phone: (937) 257-3509

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NPI Details

Stephen Gene Long, P.A. is a surgical physician assistant in Wpafb, OH. Stephen Gene Long, P.A. NPI is 1073598207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4881 SUGAR MAPLE DRIVE
WPAFB MEDICAL CENTER
WPAFB, OH
ZIP 45324
Phone: (937) 257-3509
Fax: (937) 257-3509

The enumeration date for this NPI number is 12/9/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical1033659 NCCPAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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