| William S. Longfellow, M.d., Inc. | |
|
71780 San Jacinto Dr Bldg. H-1 Rancho Mirage CA 92270-5516 | |
| (760) 340-6777 | |
| (760) 340-1146 |
| Full Name | William S. Longfellow, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 71780 San Jacinto Dr, Rancho Mirage, California |
| Authorized Official Name and Position | William Steven Longfellow (PRESIDENT) |
| Authorized Official Contact | 7603406777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William S. Longfellow, M.d., Inc. 71780 San Jacinto Dr Bldg. H-1 Rancho Mirage CA 92270-5516 Ph: (760) 340-6777 | William S. Longfellow, M.d., Inc. 71780 San Jacinto Dr Bldg. H-1 Rancho Mirage CA 92270-5516 Ph: (760) 340-6777 |
| NPI Number | 1922149020 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 06/22/2010 |
| Medicare PECOS PAC ID | 9335224377 |
|---|---|
| Medicare Enrollment ID | O20080314000217 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922149020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A50581 (California) | Primary |
| Provider Name | William Steven Longfellow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922149285 PECOS PAC ID: 5698850634 Enrollment ID: I20120313000188 |
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