Individual
DR. DARRELL PAUL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1134 W ROBB AVE, LIMA, OH 45801
(419) 225-4176
(419) 225-4069
Mailing address
1134 W ROBB AVE, LIMA, OH 45801
(419) 225-4176
(419) 225-4069
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36002205
OH
Other
Enumeration date
09/01/2006
Last updated
08/20/2012
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