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Individual

MEREDITH BLAIRE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
290 S MONACO PKWY, DENVER, CO 80224-1105
(303) 355-2525
(252) 744-3924
Mailing address
401 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-4264
(844) 559-1600
(224) 236-4900

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR.0056210
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/27/2011
Last updated
05/22/2019
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