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Individual
DR. WILLIAM DAVID LONG
Active
Individual
DR. WILLIAM DAVID LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
024926
LA
2085R0202X
Diagnostic Radiology Physician
024926
LA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
024926
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04446
—
LA
01
—
P00325542
RAILROAD MEDICARE
LA
Enumeration date
04/03/2006
Last updated
05/09/2011
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