NPI 1063594406

Debra S Long, RTRT

Practitioner Radiation Therapy Radiologic Technologist Indianapolis, IN

Practice location

Address: 1481 W 10th St, Indianapolis, IN 46202-2803
Phone: (317) 988-3011
Mailing address: 8920 Prairie Trl, Avon, IN 46123-9084

Registered specialties

Radiation Therapy Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471R0002X Licence 171509 (IN)

Other Radiologic Technologist providers in Indiana →

Registry record

NPI: 1063594406
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.