Individual
DR. DAVID DALE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 ADMINISTRATION RD, OAK RIDGE, TN 37830-8822
(865) 483-7030
(865) 483-3954
Mailing address
120 ADMINISTRATION RD, OAK RIDGE, TN 37830-8822
(865) 483-7030
(865) 483-3954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD017710
TN
2086S0129X
Vascular Surgery Physician
MD017710
TN
Other
Enumeration date
12/22/2005
Last updated
07/14/2020
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