Individual
DR. CASSIDY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
(515) 282-2851
Mailing address
1801 HICKMAN RD, DES MOINES, IA 50314-1505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R-9471
IA
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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