DANIEL LONG

BATON ROUGE, LA
NPI1386099224
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant Surgical
Enumeration Date2016-04-28
Last Update Date2016-07-20
Business Address
DANIEL LONG
10101 PARK ROWE AVE STE. 200
BATON ROUGE, LA 70810-1686
Phone number: 225-769-2200
Mailing Address
DANIEL LONG
PO BOX 98509
BATON ROUGE, LA 70884-9509
Phone number: 225-769-2200
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