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Individual

PAUL ROBERT LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAUL LONG M.D.

Contact information

Practice address
1550 NE 27TH ST STE 100, BEND, OR 97701-7760
(541) 313-8111
(541) 313-8112
Mailing address
1550 NE 27TH ST STE 100, BEND, OR 97701-7760
(541) 313-8111
(541) 313-8112

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
30199
OK
2086S0129X
Vascular Surgery Physician
Primary
MD196678
OR
390200000X
Student in an Organized Health Care Education/Training Program
BP10037253
TX

Other

Enumeration date
04/26/2010
Last updated
09/19/2023
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