Individual
MR. JOHN DAWSON LONG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1236 E ELIZABETH ST STE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
Mailing address
1236 E ELIZABETH ST STE 1, FORT COLLINS, CO 80524-4000
(970) 224-2985
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
165852
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0000484
CO
Other
Enumeration date
06/12/2014
Last updated
04/21/2016
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