Provider Demographics
NPI:1881728848
Name:LONG, CHRISTOPHER L (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:L
Last Name:LONG
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:1901 E UNIVERSITY DR
Mailing Address - Street 2:SUITE 370
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8306
Mailing Address - Country:US
Mailing Address - Phone:480-668-2772
Mailing Address - Fax:480-733-5257
Practice Address - Street 1:2051 W WARNER RD
Practice Address - Street 2:#1
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-2100
Practice Address - Country:US
Practice Address - Phone:480-963-0504
Practice Address - Fax:480-963-2899
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2008-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ6003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor