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Individual

DR. WILLIAM PAUL LONG

Active
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Individual

DR. WILLIAM PAUL LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
023755
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
023755
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04930021
MS
05
1488437
LA
Enumeration date
01/08/2007
Last updated
06/15/2012
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