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Contact Information

SUMMER D LONG, PAC
743 HORIZON COURT
STE 105
GRAND JUNCTION, CO81506
 Phone: 970-244-8708
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SUMMER D LONG · (Female)

NPI Number 1518903574
Status Active
Credentials PAC
Entity Individual
Enumeration date 06/20/2006
Last updated 01/14/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 2182
  • CO Medicaid 86334051
Hospital affiliation(s)
  • DELTA COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1501 E 3RD STREET
    DELTA, CO 81416
  • ST MARYS HOSPITAL AND MEDICAL CENTER - (Acute Care)
    2635 N 7TH STREET
    GRAND JUNCTION, CO 81502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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