Individual
ROBERT W LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 COMMONWEALTH BLVD W STE 108, MARTINSVILLE, VA 24112-1841
(276) 638-4461
Mailing address
240 COMMONWEALTH BLVD W STE 108, MARTINSVILLE, VA 24112-1841
(276) 638-4461
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101 002062
VA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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