Individual
DR. GREG S LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
102 N. MAIN, VIBORG, SD 57070-0203
(605) 766-2225
(605) 766-3305
Mailing address
102 N. MAIN, VIBORG, SD 57070-0203
(605) 766-2225
(605) 766-3305
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
06316
IA
111N00000X
Chiropractor
Primary
900
SD
Other
Enumeration date
05/10/2006
Last updated
08/07/2009
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