Individual
DR. EDWIN THOMAS LONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4334
(360) 475-4426
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-4334
(360) 475-4426
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
0101057130
VA
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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