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Contact Information

STEWART M LONG III, MD
500 W BROADWAY ST
MISSOULA, MT59802-4008
 Phone: 406-329-5612
 Fax: 406-329-5606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for STEWART M LONG III · (Male)

NPI Number 1588720007
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2006
Last updated 08/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # 054274
  • MT License # MED-PHYS-LIC-11421
  • NC License # 2020-00263
  • NC Medicaid 1588720007
  • NC Other NNB571A MEDICARE
Hospital affiliation(s)
  • MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE - (Acute Care)
    509 BILTMORE AVE
    ASHEVILLE, NC 28801
  • ST PATRICK HOSPITAL - (Acute Care)
    500 W BROADWAY
    MISSOULA, MT 59806
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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