NPI 1629886627

Russell K Long

Practitioner Technician/Technologist Memphis, TN

Practice location

Address: 1805 Wilcrest Dr APT 5, Memphis, TN 38134-5017
Phone: (901) 558-8302

Registered specialties

Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156F00000X

Other Technician/Technologist providers in Tennessee →

Registry record

NPI: 1629886627
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2024
Record last updated: 21 Dec 2024

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.