Individual
ALLISON LONG
Active
Individual
ALLISON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
48022
CO
390200000X
Student in an Organized Health Care Education/Training Program
TL-2106
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20302
KAISER COMMERCIAL NUMBER
CO
05
—
21032050
—
CO
Enumeration date
01/26/2007
Last updated
04/20/2011
Update your record
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