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Individual
PAUL ROBERT LONG
Active
Individual
PAUL ROBERT LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAUL LONG M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
30199
OK
2086S0129X
Vascular Surgery Physician
Primary
MD196678
OR
390200000X
Student in an Organized Health Care Education/Training Program
BP10037253
TX
Other
Enumeration date
04/26/2010
Last updated
09/19/2023
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