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Individual

DR. WILLIAM M LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3909 LAPALCO BLVD, STE. 100, HARVEY, LA 70058-2302
(504) 349-6900
(504) 340-4305
Mailing address
3909 LAPALCO BLVD, STE. 100, HARVEY, LA 70058-2302
(504) 349-6900
(504) 340-4305

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012403
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1194115
LA
Enumeration date
09/23/2005
Last updated
01/31/2014
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