Individual
MR. DOUGLAS WILLIAM LONG
Active
Individual
MR. DOUGLAS WILLIAM LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNPC-AG
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A005415
AR
363LA2100X
Acute Care Nurse Practitioner
Primary
A005415
AR
Other
Enumeration date
12/01/2015
Last updated
07/11/2024
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