DENNIS W LONG

CAPE GIRARDEAU, MO
NPI1295853547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MO  096892)
Enumeration Date2007-03-26
Last Update Date2013-03-19
Business Address
DENNIS W LONG FNP
224 N FREDERICK ST
CAPE GIRARDEAU, MO 63701-5626
Phone number: 573-332-0121
Mailing Address
DENNIS W LONG FNP
PO BOX 1933
CAPE GIRARDEAU, MO 63702-1933
Phone number: 573-332-7992