Individual
DR. DANIEL R LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 745-1000
Mailing address
24 MARTHA LN, PUEBLO, CO 81001-4608
(610) 334-3391
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TL.0006144
CO
Other
Enumeration date
06/27/2016
Last updated
09/27/2021
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