| Dr Mitchell D Long, DO | |
| 
					1512 12th Ave Rd, Nampa, ID 83686-6008  | |
| (208) 463-5100 | |
| Not Available | 
| Full Name | Dr Mitchell D Long | 
|---|---|
| Gender | Male | 
| Speciality | Emergency Medicine | 
| Location | 1512 12th Ave Rd, Nampa, Idaho | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1760405534 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0-273 (Idaho) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Mitchell D Long, DO 2463 Eastdale Dr, Boise, ID 83712-6724 Ph: (208) 343-2587  | Dr Mitchell D Long, DO 1512 12th Ave Rd, Nampa, ID 83686-6008 Ph: (208) 463-5100  | 
Dr. John Kodatt, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1510 12th Ave Rd Ste 200, Nampa, ID 83686 Phone: 208-302-6800 Fax: 208-302-6855  | |
Dr. Richard C Ballantyne, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-364-3000  | |
Dr. Eric Paul Kendall, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1512 12th Ave Rd, Nampa, ID 83686 Phone: 208-463-5100  | |
William R England, M.D Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 E Hawaii Ave, Nampa, ID 83686 Phone: 208-463-3234 Fax: 208-463-3044  | |
Thomas Ronay, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 85 S Middleton Rd, Nampa, ID 83651 Phone: 208-505-2800  | |
John Mullins, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 12th Ave Rd, Nampa, ID 83686 Phone: 208-498-1080  |