Organization
C.W. LONG ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS W. LONG M.D. (OWNER/PHYSICAIN)
(660) 679-3140
Entity
Organization
Contact information
Practice address
200 W CHESTNUT ST, BUTLER, MO 64730-1554
(660) 679-3140
(660) 679-3468
Mailing address
PO BOX 140, BUTLER, MO 64730-0140
(660) 679-3140
(660) 679-3468
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200645901
—
MO
Enumeration date
05/20/2009
Last updated
05/20/2009
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