Individual
ROBERT P. LONG II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
250 N 1ST ST, BLYTHE, CA 92225-1702
(216) 904-6330
Mailing address
4656 CANOPY GROVE DR, WESTLAKE, FL 33470-7049
(216) 904-6330
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95001599
CA
367500000X
Certified Registered Nurse Anesthetist
R196807
MD
Other
Enumeration date
03/11/2007
Last updated
09/19/2023
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