Individual
BARRY DANIEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 E LEIGH ST FL 14, RICHMOND, VA 23298-5004
(804) 628-4368
(409) 807-7951
Mailing address
PO BOX 980257, RICHMOND, VA 23298-0257
(804) 828-9783
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0116035949
VA
Other
Enumeration date
06/03/2021
Last updated
06/12/2024
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