Organization
EDWARD LONG JR MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LONG MD (PHYSICIAN)
(812) 637-2323
Entity
Organization
Contact information
Practice address
24068 PROFESSIONAL PARK DR, LAWRENCEBURG, IN 47025-7600
(812) 637-2323
(812) 637-2878
Mailing address
10925 MOCKERNUT DR, HARRISON, OH 45030-1768
(812) 637-2878
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
IN
Other
Enumeration date
07/01/2006
Last updated
08/22/2020
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