Individual
DR. WILLIAM PAUL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1141 WHITNEY AVE, BUILDING 3, GRETNA, LA 70056-5011
(504) 361-3757
(504) 361-3132
Mailing address
300 AUDUBON ST, NEW ORLEANS, LA 70118-4906
(504) 864-2039
(504) 361-3132
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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