NPI 1063711075
Jason Long, RPA
Practice location
- Address
- 2139 Andrews St, Fort Collins, CO 80528-7073
- Phone
- (970) 377-2605
Registered specialties
Radiology Practitioner Assistant
Primary
Registry record
- NPI
- 1063711075
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 17 Mar 2011
- Record last updated
- 17 Mar 2011
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.