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Individual

CHRISTOPHER J DELONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
111 N BAILEY ST, PRYOR, OK 74361-4201
(918) 824-6474
(918) 824-6316
Mailing address
PO BOX 278, PRYOR, OK 74362-0278
(918) 824-6474
(918) 824-6316

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2610
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100118840A
OK
05
100700040E
OK
01
G37001501
MEDICARE PIN
OK
Enumeration date
11/17/2006
Last updated
06/10/2008
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