Organization
DANIEL A LONG MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization
DANIEL A LONG MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A LONG MD (PRESIDENT)
(504) 391-7560
Entity
Organization
Contact information
Practice address
120 MEADOWCREST ST, #330, GRETNA, LA 70056-5255
(504) 391-7560
(504) 394-2269
Mailing address
120 MEADOWCREST ST, #330, GRETNA, LA 70056-5255
(504) 391-7560
(504) 394-2269
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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