Individual
DR. JAMES ROBERT LONG II
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
11 SAWMILL RD, CHAPMANVILLE, WV 25508-9584
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
1852
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000331001
—
WV
Enumeration date
06/13/2006
Last updated
07/09/2007
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