Individual
DR. DAVID REYNOLDS LONGMIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13150 HWY 43, RUSSELLVILLE, AL 35653
(256) 332-3633
(256) 332-6684
Mailing address
13150 HWY 43, SUITE 14, RUSSELLVILLE, AL 35653-4565
(256) 332-3633
(256) 332-6684
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11485
AL
2084N0600X
Clinical Neurophysiology Physician
11485
AL
208VP0000X
Pain Medicine Physician
00011485
AL
Other
Enumeration date
06/28/2006
Last updated
03/01/2010
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