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Individual

DR. JOSHUA WILLIAM LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0051485
CO
208600000X
Surgery Physician
27181
AL
208600000X
Surgery Physician
Primary
51485
CO

Other

Enumeration date
05/10/2007
Last updated
03/12/2021
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