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Individual

DR. CURTIS W LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 W CHESTNUT ST, BUTLER, MO 64730-1554
(660) 679-3149
(660) 679-3468
Mailing address
200 W CHESTNUT ST, BUTLER, MO 64730-1554
(660) 679-3149
(660) 679-3468

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29119
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200645901
MO
Enumeration date
11/17/2005
Last updated
08/12/2013
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