Individual
RICHARD D LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD INC
Contact information
Practice address
1000 N DIVISION ST, STE 100, CARSON CITY, NV 89703-3929
(775) 883-1544
(775) 883-1965
Mailing address
1000 N DIVISION ST, STE 100, CARSON CITY, NV 89703-3929
(775) 883-1544
(775) 883-1965
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2687
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013261
—
NV
Enumeration date
08/09/2005
Last updated
10/09/2007
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