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Individual

DANIEL ARTHUR LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 MEADOWCREST ST, #330, GRETNA, LA 70056
(504) 391-7560
(504) 394-2269
Mailing address
120 MEADOWCREST ST, #330, GRETNA, LA 70056
(504) 391-7560
(504) 394-2269

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
013818
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1199273
LA
Enumeration date
09/16/2006
Last updated
07/08/2007
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