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Individual

DR. DUSTIN ROSS LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
325 9TH AVE, SEATTLE, WA 98104
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD60770694
WA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
MD60770694
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508108051
WA
Enumeration date
03/22/2013
Last updated
07/03/2018
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