NICHOLAS LONGE, DO
Family Medicine
Active
Individual
NPI: 1740020148
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | MRO-2428 (ID) |
Frequently Asked Questions
NPI 1740020148 is the National Provider Identifier for NICHOLAS LONGE, DO, a Family Medicine provider located in Pocatello, ID. This NPI was enumerated on May 31, 2024.
NICHOLAS LONGE, DO practices at 465 MEMORIAL DR, Pocatello, ID 83201.
Quick Facts
- NPI
- 1740020148
- Type
- Individual
- Enumerated
- May 31, 2024
- Last Updated
- Jun 26, 2024
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