KALU B LONG

ESPANOLA, NM
NPI1770119679
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: NM  MD2023-1039)
Enumeration Date2020-03-23
Last Update Date2023-08-09
Business Address
KALU B LONG MD
1010 SPRUCE ST
ESPANOLA, NM 87532-2724
Phone number: 505-753-7111
Mailing Address
KALU B LONG MD
PO BOX 26666 PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770
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