NPI 1144682055

Darrel Long, BHT

Practitioner Other Technician Phoenix, AZ

Practice location

Address: 609 N 2nd Ave Sutie 200, Phoenix, AZ 85003-1653
Phone: (480) 341-6540
Mailing address: 924 N Country Club Dr, Mesa, AZ 85201-4108

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Arizona →

Registry record

NPI: 1144682055
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Mar 2016
Record last updated: 22 Mar 2016

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.