NPI 1356570857

Robert B Long, IDMT

Practitioner Independent Duty Medical Technicians Minot Afb, ND

Practice location

Address: 10 Missile Ave, Minot Afb, ND 58705-5003
Phone: (701) 723-5474
Mailing address: 1 8th St NW, Minot, ND 58703-3038

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in North Dakota →

Registry record

NPI: 1356570857
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jul 2009
Record last updated: 7 Jul 2009

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.