Individual
DR. ANDREW WALLAYS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 733-7226
(520) 795-6321
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 447-2439
(413) 496-6869
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
78295
AZ
2085R0204X
Vascular & Interventional Radiology Physician
274986
MA
2085R0204X
Vascular & Interventional Radiology Physician
D71136
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51030
CAQH
—
Enumeration date
04/15/2008
Last updated
11/07/2025
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