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Individual

DR. TROY A LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
(303) 239-7489
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41804
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40473538
CO
Enumeration date
09/20/2005
Last updated
06/11/2021
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