Individual
WILLIAM WALTER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
905 OLD DILEY RD, PICKERINGTON, OH 43147
(614) 864-3222
(614) 863-7388
Mailing address
1021 COUNTRY CLUB RD, SUITE A, COLUMBUS, OH 43213-2470
(614) 501-7337
(614) 434-2701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35058570L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802751
—
OH
Enumeration date
09/21/2005
Last updated
12/16/2011
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